were approved through 2021. CALL TO ... begin to be tested and used before January 2021. ... 59 Patient Monitoring Service Manual, CD-ROM.
c
Qua lity Care. Close to Horne.
Lynn Falcone, CEO
Board of Directors : Dr. John Frels
Charles W. Papacek Cindy Sheppard Faye Sheppard Richard Wheeler
BOARD OF DIRECTORS CUERO REGIONAL HOSPITAL
Date 12-1Ci-202.D 11 : 00 A~
The Board of Directors of the Cuero Regional Hospital will hold their regular monthly meeting via conference call, Thursday, June 25, 2020, at 5:30 P.M. Board packet will be available on line for viewing. The public toll-free dial-in number and access code is 1-888-204-5987, Access Code 6265946 and will be available on the Cuero Regional Hospital website - cuerohospital.org:
The subjects to be considered at such meeting are:
I.
Call to Order
II.
Community Input
Ill. Review of Minutes of the May 28, 2020 Annual and May 28, 2020 Regular Called Meeting
IV. Review of Financial Statement and Statistical Report
1. Financial and Statistical Report
2. Finance Committee Report
V.
Report from Chief of Staff
Appointments: Consulting - Radiology - Telemedicine, See page 3 for Listing
Reappointments: Thao Duong, MD, Tele-Cardiology, Chet Schwab, MD, Pathology, Fazila Siddiqi,
MD, Psychiatry
VI. Report from Marketing & Development Director - List of Advertising and Events
VII. Clinic Operations Report by Interim Clinic Administrator
VIII. Report on Quality/Safety, Finance and Community from Asst. Administrator
IX.
Report Quality/Safety, People, Growth and Community from Chief Nursing Officer
X.
Report on Quality/Safety, People, Growth and Community from Chief Executive Officer
XI.
Report on Quality
XII. Compliance Update
XIII. Committee Reports
XIV. Old Business
1. Annual Audit Report and Board Education - Review and Take Appropriate Action
XV. New Business
1. Human Resources Annual Report - Review and Take Appropriate Action
2. Extension of Indigent Care Program - Consider and Take Appropriate Action
3. Designate Representative to Golden Crescent Economic Development District- Consider and
Take Aoorooriate Action
CUERO HEALTH
Cuero Regional Hospital · Cuero Home Health · Bfit Cuero Wellness Center Cuero Medical Clinic · Goliad Family Practice · Kenedy Family Practice · Parkside Family Clinic · Yorktown Medical Clinic
1 6/19
Cuero Regio nal Hospita l Notice of Boa rd M eeting
June 25, 2020
4. Revised Capital Risk- Discussion Only 5. Capital Expenditure Request for CAPRS - Review and Take Appropriate Action 6. Capital Expenditure Request for High Flow Nasal Cannula - Review and Take Appropriate Action 7. Capital Expenditure Request for Telemetry System - Review and Take Appropriate Action 8. Capital Expenditure Request for IT Servers/Network/Backup Solutions - Review and Take Appropriate
Action 9. Board Resolution to Approve the Perinatal Program Plan for Maternal Designation - Review and Take
Appropriate Action
XVI. The Board reserves the right to retire into executive session concerning any of the items listed on this Agenda, whenever it is considered necessary and legally justified under the Open Meetings Act, for: · 551.071 Consultation with attorney regarding pending, potential litigation involving the Hospital and/or Hospital District · 551.072 Deliberations about Real Property to deliberate the purchase, exchange, lease, or value of real property if deliberations in an open session would have a detrimental effect on the position of the District · 551.073 Deliberation Regarding Prospective Gifts or Donations · 551.074 Personnel matters relating to the appointment, employment, evaluation, discipline or dismissal of an officer or employee o 551.076 Deliberation regarding security devices · 551.085 Discussion of pricing and/or financial planning information related to negotiation for the arrangement of provision of services or product lines for DeWitt Medical District and proposed new physician services for DeWitt Medical District, and any other non-profit health maintenance organizations under the umbrella of DeWitt Medical District.
XVII. Communications XVIII. Adjournment
Richard Wheeler, Board Chairman
I certify that, in compliance with the Texas Open Meetings Act, I provided this notice of th is meeting to the DeWitt County Clerk and posted this agenda at the designated location at the DeWitt County Courthouse, Cuero, Texas, and also at the designated location for the City of Cuero and by the switchboard on the first floor of Cuero Regional Hospital, 2550 N. Esplanade, Cuero, Texas 77954 and on line at cuerohospital.org by 5:00 p.m. on the 22nd day of June, 2020 .
.J/ ;·\tt\O" : '
2 6/19
Page 3 CRH 6/25/2020 Board Agenda
Agrait- Bertran, Edgardo MD krami, Jason MD
1-1rjona, Jose MD Arya, Satyendra MD Barker, Kevin MD Bennett, Andrew MD Benson, Amy MD Betterman, Mary MD Bhargava, Nikhil MD Blevins, Kasina MD Cavin, Lillian MD Cecava, Nathan MD Chaudhuri, Jayanta MD Cox, Chad MD Craig, Steven MD Cunningham, James DO Dann, Phoebe MD Drew, Jack MD Eckard, Donald MO Eckard, Valerie MD Fuller, Joseph MD Geracimos, Ryan MD Greenspan, Stacy MD Griggs, Moreko, MD Halsted, Mark MD Hamilton, Jackson MD Harrison, Andrew MD Heinlen, Stephanie MD endrix, Christopher DO .ole, Steven MD Holliday, Rex MD Huynh, Khanh MD Jaco, John MD Joseph, Santhosh MD Judge, Joseph MD Kapilivsky, Allan MD Karsenti, Jeremie MD Kottler, Nina MD Lapidus, Robert MD Lim, Stanley MD Lonsford, Chad MD Lucas, Joshua MD Maniam, Santhi MD Mehta, Snehal MD Millare, Giovanni MD Moulik, Supratik MD Newman, Barbara MD Orrin, Sarah MD Parikh, Sachin MD Parven, Stephen MD Patel, Purvak MD Ramirez, Jorge MD Richter, Erik MD Savit, Russ MD Serlin, Scott MD
ah, Samir MD Aears, Robert MD Sullivan, John MD Talmi, Danit MD Tank, Jay MD
Uzquiano, Nelson MD Vandenmooter, Synda MD Zaidi, Syed MD Zarghouni, Mehrzad MD Zorinsky, David MD Tran, Benson MD Trexler, Nowice MD
3 6/19
CUERO REGIONAL HOSPITAL BOARD OF DIRECTORS MEETING
May 28, 2020
The Board of Directors of Cuero Regional Hospital held their annual meeting, via conference call, on Thursday, May 28, 2020, Cuero Regional Hospital, DeWitt County, Texas, at 5:30 P.M. The agenda was posted in compliance with the Open Meetings Act. A board packet was posted online at cuerohospital.org, along with a dial in Toll-Free number and access code.
Board members present via conference call were: Mr. Richard Wheeler, Chairman Mrs. Faye Sheppard, Vice Chairman Mr. Charles Papacek, Secretary Dr. John Frels, DDS, Member Mrs. Cindy Sheppard, Member
Leadership members present were: Mrs. Lynn Falcone, Chief Executive Officer Mrs. Alma Alexander, Chief Financial Officer Mrs. Judy Krupala, Chief Nursing Officer Mrs. Denise McMahan, Assistant Administrator Dr. David Hill, Chief Medical Officer Mrs. Kathy Simon, Administrative Assistant
Guests: Mr. Geoff Crabtree, Methodist Healthcare System, Ms. Allison Flores, Cuero Record
The Board Chairman called the meeting to order at 5:30 p.m.
Oath of Office was sworn to by Mrs. Cynthia Sheppard via conference call. Mrs. Sheppard will swear to the Oath of Office before Mrs. Kathy Simon, Administrative Assistant/Notary at a later date. Mrs. Cynthia Sheppard was an incumbent member.
The Chairman opened the floor to nominations for the election of officers. Dr. Preis moved, Mrs. Cindy Sheppard seconded, to elect the current officers (by acclamation) Mr. Richard Wheeler as Chairman of the Board, Mrs. Faye Sheppard as Vice-Chairman of the Board and Mr. Charles Papacek as Secretary of the Board, the motion carried unanimously.
The Chairman of the Board reviewed the current committees and appointments. Mr. Charles Papacek moved, Mrs. Cindy Sheppard seconded to approve the current committees and appointments as presented, the motion carried unanimously.
Medical Staff appointments were brought to and approved by the Board in June 2019 and were approved through 2021.
CALL TO ORDER
OATH OF OFFICE
ELECTION OF OFFICERS
COMMITTEE APPOINTMENl
MEDICAL STAFF OFFICERS
Cuero Regional Hospital Board of Directors Meeting
2
Dr. John Frels moved, Mr. Charles Papacek seconded, to adjourn the annual meeting and move into the regularly scheduled monthly meeting; the motion carried unanimously. The meeting adjourned at 5:37 p.m.
ADJOURN
Richard Wheeler, Chairman
Charles Papacek, Secretary
CUERO REGIONAL HOSPITAL BOARD OF DIRECTORS MEETING
May 28, 2020
The Board of Directors of Cuero Regional Hospital held their regular monthly meeting, via conference call, on Thursday, May 28, 2020, Cuero Regional Hospital, DeWitt County, Texas, at 5:38 P.M. The agenda was posted in compliance with the Open Meetings Act. A board packet was posted online at cuerohospital.org, along with a dial in Toll-Free number and access code.
Board members present via conference call were: Mr. Richard Wheeler, Chairman Mrs. Faye Sheppard, Vice Chairman Mr. Charles Papacek, Secretary Dr. John Frels, DDS, Member Mrs. Cindy Sheppard, Member
Leadership members present were: Mrs. Lynn Falcone, Chief Executive Officer Mrs. Alma Alexander, Chief Financial Officer Mrs. Judy Krupala, Chief Nursing Officer Mrs. Denise McMahan, Assistant Administrator Dr. Paul Willers, II, Chief of Staff, arrived during the Chief Nursing Officer report Dr. David Hill, Chief Medical Officer Mrs. Kathy Simon, Administrative Assistant
Guests via conference call: Mr. Geoff Crabtree, Methodist Healthcare System, Ms. Allison Flores, Cuero Record
The Board Chairman called the meeting to order at 5:38 p.m.
Community Input: None
Mr. Charles Papacek moved, Mrs. Faye Sheppard seconded, to approve the minutes of the regular called meeting on April 23, 2020 and the emergency called meeting on May 7, 2020 as presented with one typographical change to the May 7, 2020 minutes (Payroll to Paycheck); the motion carried unanimously.
The Chief Financial Officer's Financial Statement and Statistical Report were provided. The Chief Financial Officer spoke on hospital financials and on clinic financials. The reports were accepted as presented. The Quarterly Investment Report was for information only.
CALL TO ORDER COMMUNITY INPUT MINUTES
FINANCIAL/ ST ATIS Tl CAL
There were no appointments or reappointments for the Chief of Staff to report this month.
The Marketing and Development Director report was provided and consisted of a list of
MEDICAL STAFF
MARKETING
Cuero Regional Hospital Board of Directors Meeting
2
advertising and current events. Mrs. Sheppard noted the generous support of the community towards the hospital. Mr. Wheeler noted the Best of the Best Awards that were listed in the report.
The Clinic Administrator's report regarding operations and KPI was provided.
CLINIC LEADERSHIP
The Assistant Administrator's report on Quality/Safety, Finance, and Community was provided.
ASST. ADMIN. REPORT
The Chief Nursing Officer's report on Quality/Safety, People, Growth and Community was provided. Mrs. Krupala noted that we had our first dialysis patient and everything went well.
The Chief Executive Officer's report on Quality/Safety, People, Growth and Community was provided.
CNOREPORT CEO REPORT
The Quality report was reviewed.
QUALITY
There was no new compliance information noted.
COMPLIANCE
Committee Reports: None Old Business: None
COMMITTEE REPORT
New Business:
The Chairman of the Board reviewed the results of the board's self-evaluation and discussed with the other board members.
BOARD EVA
The Chairman of the Board reviewed the results of the Board's evaluation of the Chief CEOEVAL
Executive Officer.
BY BOARD
The Chief Nursing Officer presented the Semi-annual Review of the Nurse Staffing Plan for October 2019 through March 2020. Highlights of the plan included, (1) average daily census for each nursing unit; (2) patient falls; (3) work related injuries/illnesses; (4) staffing utilization; (5) validated patient complaints; (6) readmission rates; (7) skin breakdown; and (8) patient satisfaction tool. Dr. Frels moved, Mrs. Faye Sheppard seconded, to accept the Semi-annual Review of the Nurse Staffing Plan for October 2019 through March 2020 as presented with one correction of transposed numbers; motion carried unanimously.
NURSE STAFFING PLAN
The Assistant Administrator reviewed the 1st Quarter QA/Risk Management/Safety Report. Mr. Papacek moved, Dr. Frels seconded, to approve the 1st Quarter QA/Risk Management Safety Report; the motion carried unanimously.
QUARTERL) QAIRM/SAFI
The Chief Financial Officer presented the Investment Policy with no changes noted, a INVESTMEN
Cuero Regional Hospital Board of Directors Meeting
3
resolution to Adopt Investment Strategies of DeWitt Medical District with no changes noted, and the List of Approved Investment Brokers with no changes noted. Some minor typos had been corrected prior to the meeting and the items resent to the board for review. Dr. Frels moved, Mrs. Cindy Sheppard seconded, to accept the Investment Policy, Strategies and Approved Investment Brokers List with minor typo changes; the motion carried unanimously.
The Board Chairman requested the board to table the Annual Audit Report and board education by BKD, LLC until the board is able to meet in person. Dr. Frels moved, Mr. Papacek seconded, to table the BKD, LLC Annual Audit Report and board training until the board meets in person; motion carried unanimously.
The Chief of Staff reviewed revisions made to the Medical Staff By-Laws. Mrs. Faye Sheppard moved, Mr. Papacek seconded, to approve the revisions made to the Medical Staff ByLaws as presented; motion carried unanimously.
The Chief Executive Officer and Senior Leaders gave an informational overview and answered questions regarding current Capital Risks.
The Chief Financial Officer presented a resolution to be approved by the Board to authorize Lynn Falcone, CEO, Alma Alexander, CFO and Denise McMahan, Assistant Administrator to sign checks for all accounts with Prosperity Bank. The resolution also removed Greg Pritchett, Clinic Administrator, from all accounts. The resolution gives authority for Laura Tiffin and Samantha Sutton to discuss banking accounts with Prosperity Bank. It was further resolved that a check would require two signatures and that these signatures will be valid until such time as the Board would pass a new resolution and that such a resolution with the most current date shall have precedence over and other resolutions. Dr. Frels moved, Mr. Papacek seconded, to sign in support of the resolution regarding Prosperity Bank as presented.
The Assistant Administrator requested the capital expenditure purchase to replace two Radiometer ABL80 Flex Blood Gas Analyzers. A quote from IL GEM 4000 for $17,700.00 was recommended. Mrs. Cindy Sheppard moved, Mrs. Faye Sheppard seconded, to approve the capital expenditure purchase up to $17,700.00 from IL GEM 4000 to replace two Radiometer ABL80 Flex Blood Gas Analyzers; motion carried unanimously.
The Chief Financial Officer is requesting authorization from the Board for the CEO or CFO to be able to sign a Surgical Equipment Service Agreement that will have a longer term than that of the Methodist Healthcare Agreement. Mrs. Faye Sheppard moved, Mrs. Cindy Sheppard seconded, to approve the authorization of the CEO and/or the CFO to sign a Surgical Equipment Agreement that will have a longer effective term then the current Methodist Healthcare Agreement subject to resolution of some contractual findings; motion carried unanimously.
The Chief Executive Officer and Chief Financial Officer discussed COVID-19 Pay. This was discussion with the board only.
POLICY/
STRATEGIE~
APPROVED BROKER
ANNUAL AUDIT-BKD
MED STAFF BYLAW REVISIONS
CURRENT CAPITAL RISKS
RESOLUTION PROSPERITY BANK AUTHORIZED USERS
2 RADIOMETER ABL80 FLEX BLOOD GAS ANALYZERS
AUTHORIZATIC TO SIGN SURGICAL EQL SERVICE AGRJ'v
COVID-19 PAY
Cuero Regional Hospital Board of Directors Meeting
4
The Board entered Executive Session at 7:09 p.m. under Texas Government Code Section 551.074. Personnel matters relating to the appointment, employment, evaluation, discipline or dismissal of an officer or employee.
The Board exited Executive Session at 7:30 p.m. At 7:32 p.m., Dr. Frels moved, Mrs. Cindy Sheppard seconded to approve the performance excellence plan summary and bonus for the CEO and CFO as presented; the motion carried unanimously.
There was no further business; Mrs. Faye Sheppard moved, Dr. Frels seconded, to adjourn; the motion carried unanimously. The meeting adjourned at 7:34 p.m.
EXECUTIVE SESSION
ADJOURN
Richard Wheeler, Chairman
Charles Papacek, Secretary
CUERO REGIONAL HOSPITAL FINANCIAL STATEMENT SUMMARY
Financial Summary - May 2020
Summary Measures
EBIDA Hosp. Only Net Operating Income Hosp. Only Clinic - Net Operating Income EBIDA Consolidated Net Income - Consolidated Net District Tax Revenue Nursing Home Revenue Admissions Admissions Patient Days ADC include Obs Outpatient Visits (ex RHC & ED) Clinic Visits Births ED Visits Total Surgeries/less Endo Revenue/Net Revenue Net Revenue Net Revenue PAPD Deductions as % of Gross Expenses Total Expenses Total Expenses PAPD Total Staffing PAPD Supplies PAPD Stats & Ratios FTE's FTE/EEOB Avg Hourly Rate Net A/R Days Cash Net Revenue % Days Cash on Hand
Current Month $1,298,223 $779,554 $303,222 $1,601,444 $1,394,920 $21,830 $290,314
Budget
$251,242 ($224,032)
$3,363 $254,605 $47,096
$0 $267,765
VAR to Budget $1,046,981 $1,003,586 $299,859 $1,346,839 $1,347,824 $21,830 $22,549
Prior Year
$355,519 $16,089 $40,475 $395,994 $221,760 $5,799 $159,397
VAR to PY
YTD
$942,704 $763,465 $262,747 $1,205,450 $1,173,160 $16,031 $130,917
$9,474,753 $987,695
$4,892 $9,479,645 $7,866,462 $4,305,847 $2,568,028
YTD Budget
$6,559,992 ($1,642,211)
$45,380 $6,605,372 $4,945,294 $4,400,000 $2,142,125
VAR to Budget YTD $2,914,761 $2,629,906 ($40,488) $2,874,273 $2,921,168 ($94,153) $425,903
PY YTD
$6,119,515 ($986,140) $311,341 $6,430,857 $5,060,323 $3,991,553 $1,743,568
VAR to PY YTD
$3,355,238 $1,973,835 ($306,449) $3,048,788 $2,806,139 $314,294 $824,460
66 236 9.4 3,022 4,187 14 594 52
80 261 10.7 3,879 6,132 11 782 46
(14) (25) (1.3) (857) (1,945)
3 (188)
6
79 287 11.6 3,864 6,033
7 781 45
(13) (51) (2.2) (842) (1,846)
7 (187)
7
597 1,922
9.8 27,044 42,055
103 6,490 423
630 2,079 10.8 29,168 49,269
98 6,361 457
(33) (157) (1.0) (2,124) (7,214)
5 129 (34)
612 2,045 10.7 29,032 49,739
88 6,351 443
(15) (123) (0.9) (1,988) (7,684)
15 139 (20)
$3,440,370 $3,513 60%
$2,720,196 $2,367 60%
$720,174 $1,146
0%
$2,642,312 $1,877 58%
$798,058 $1,636
2%
$21,857,118
$2,569 65%
$21,681,533 $2,368 60%
$175,585 $201 5%
$20,671,128 $2,308 61%
$1,185,990 $262 4%
$2,660,816 $2,717 $1,482 $206
$2,944,228 $2,562 $1,317 $316
$283,412 ($155) ($165) $109
$2,626,223 $1,866 $938 $180
($34,593) ($851) ($545) ($27)
$20,869,423
$2,453 $1,290 $238
$23,323,744 $2,547 $1,299 $316
$2,454,321 $94 $9 $77
$21,657,268 $2,418 $1,245 $270
$787,845 ($35) ($45) $31
210.96 6.68 $28.56 14.4 115.3% 444.66
221.85 5.98 $28.73 19.1 100% 180.00
-10.89 0.69 ($0.17) -4.7 15% 264.66
212.82 4.23 $23.34 19.6 112.1% 254.91
-1.86 2.45 $5.22 -5.2 3% 189.75
222.18 6.37
$27.41 17.9
101.2% 444.66
220.96 5.89
$28.77 18.8 100%
180.00
1.22 0.48 ($1.36) -0.9 1% 264.66
222.33 6.03
$24.53 19.7
101.1% 254.91
-0.15 0.34 $2.88 -1.8 0% 189.75
Hospital Net Operating Income at $779.6K, was positive for the month of May, higher than Budget and Prior Year. Federal Cares Act Relief Fund dollars were received in May for the Hospital and Clinics, totaling $3.9M. A total of $1.2M in revenue was recognized for the Hospital and RHC, consolidated. Without the Relief Funds, consolidated net loss from Operations would have been $106.4K due to continued effects of COVID19. The breakdown of revenue and expenses performance indicators were as follows: NET REVENUE: ·Hospital Patient Net Revenue was lower than Budget by $27K mainly due to lower Patient Days (25) and ER visits (188). The lower volume due to continued effects of COVID19, drove the variance lower by $384K. A positive rate variance by $356K was driven by a strong Case Mix for Managed Medicare (up by 8% ) and Payor Mix with higher Medicaid up 17.7% and Managed Medicare up 6.33%. In addition, higher Surgeries by 6 contributed to the positive rate variance. Ortho cases were higher by 3, Gen Surgeries were up by 4 and Podiatry were up by 11 ·Additional COVID-19 Stimulus funds were received through the Cares Act Relief Fund. Revenue was recognized for the Hospital at $826K in May, covering revenue losses and expense increases from Mar- May due to COVID ·Supplemental dollars were adjusted for the final FY 20 UC payments. UC and DSH payments for the year will total $962K EXPENSES: ·Total Expenses were lower than Budget by $283K due to lower expenses compared to Budget in several categories. Salaries were lower than Budget by $48.7K due to lower FTEs caused by lower volume. FTEs were lower than Budget by 10.9. Supplies were lower than Budget by $161K due to lower Implant costs ($76K), Pharmaceuticals ($32.1K), Med/Surg ($12.3K), and Supplies Chraged to Patients ($18K). No Spine cases were performed in May. Purchased Services were lower than Budget by $68.7K driven by lower Utilities ($22K), and Prof Services ($38.6K). Professional Contracts were up $22K due to higher ER Physician expense with Southwest collections lower due to lower volumes CLINICS: ·Clinic Net Operating Income at $303K was higher than Budget due to revenue from the Cares Act Relief Fund for RHC clinics. RHC Net Operating Income was positive at $302K, higher than Budget by $282.8K with $363K in COVID19 funds recognized as revenue. Without the special funds, the RHC loss would have been $60K due to lower volume (down 1,945 visits). Expenses were also driven lower due to volume with Salaries and Supplies down in May. Specialty Clinic positive income of $746 was due to higher surgery volume. General Surgeon loss was lower than Budget by $6K and Podiatry income was higher than Budget by $9.7K. Both variances were driven by higher surgery volume (General Surgeries 4 and Podiatry up 11, as mentioned above OTHER: ·Wellness Net Operating Income was negative at $20.2K, lower than Budget by $43.9K mainly due lower Revenue by $49.9K. The Wellness Center was closed most of May due to COVID19 guidelines from the State ·340B Net Operating Income was lower than Budget by $33K, mainly due to lower Revenue by $42.5K driven by lower clinic volumes from COVID19 effects ·Capital Expenditures - update: Electrical upgrades Phase 1 complete, Phase 2 in progress - $1.1M through May; Computer Network Optimization phase two in progress - $401.4K spend of $898M Budget; and 3D Mammo - $480K. Current Capital Risk estimated spend $1M in addition to projects in progress
Physician's Name
CV
Ag~att;;Be...rJt an, Edgardo MD
Akrami, Jason MD
Arj()na, Jo~;;MO .
Arya, Satyendra MD Barl<er,,K~\iin 1\,10 ·
Bennett, Andrew MD
Benson, Amy MD
Betterman, Mary MD
Bhargava, Nikhil MD
Blevins, Kasina MD
Cavin, Lilli,.n MD <.
..
Cecava, Nathan MD
Chaudhur~ ~avanta MD
Cox, Chad MD
Craig;.Steverftyl D
.
.; ...
Cunningham, James DO
Dann, Phoebe MD ..·
Drew, Jack MD
Eckart;!, Donald MD,.
Eckard, Valerie MD
Full~r; JosephMD ··:·'
·<·
Geracimos, Ryan MD
Greenspan, Stacy MD
Griggs, Moreko, MD Halst~d, Mark MD
Hamilton, Jackson MD
Harrison, Anclrew MD
Heinlen, Stephanie MD
Hendrix, Cf'jristopher DO
Hole, Steven MD
Holliday, Rex MD ;
Huynh, Khanh MD
Jaco/John MO
Joseph, Santhosh MD
Judge, Joseph MD
. ,·
Kapilivsky, Allan MD Karsenti, J~namie MD
Kottler, Nina MD
Lapiclus, Rot:J~rt MD
Lim, Stanley MD
Lansford, Chad MD
Lucas, Joshua MD Mani.a.~, Sari~hi MD
Mehta, Snehal MD
Millar~.. Gi<>\!anni MD
Moulik, Supratik MD
Newman, B~'fbara l\,1D
;
Radiology-Telemedicine
June 2020
Licensures
COi
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Privileges
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Data Bank
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Page 1of2
Radiology-Telemedicine June 2020
Ramirez, Jorge MD
Richter/Edi< ,MD
Savit, Russ MD
Shah, Samir MD
S rs,
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_M_D...;;}.....;ii~""";~'";_"':_""""""""""""----
sullivan, John MD
Tank, Jay MD
Tran, eeoi&n M
Trexler, Nowice MD
Page 2 of 2
CUERO REGIONAL HOSPITAL MEDICAL STAFF PRIVILEGES REVIEW SHEET
REAPPOINTMENT APPOINTMENT
APPLICANT NAME: .:::.T=ha=o,._D=uo;;:.:n-..g.._,=MD=-------- DATE: 06/01/2020
The following has been verified by Administration:
1. Completed Application
2. Current Texas License 3. Board Certification
If No, explain _ _ _ _ _ _ _ _ _ _ _ _ _ __
4. Current DEA Certificate If No, explain _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. Evidence of Adequate rr~s_ioral liability Insurance
Expiration Date: """"lt-.-.1..:'--"""~"--'""""'--'--
6. Adverse information with Data Bank Queried
7. Board of Medical Examiners Queried
8.
Current CPR/:&: lfNo,explain~
/AOoTtJ_.f.f~i~E~RL!r·i'(vlilf~(e\sV1i.
9. Current ACLS or Board Cert. to perform cardiac stress tests If No, explain _ _ _ _ _ _ _ _ _ _ _ _ _ __
10. Evidence of CME requirements
IfNo, e x p l a i n - - - - - - - - - - - - - - 11. In good standing at other hospitals where privileged
If No, e x p l a i n - - - - - - - - - - - - - - 12. Malpractice claims in the last ten years
IYE
NO NO NO
@No
@No
~@
YES~
<;Yi NO
GNo
& NO
YES@
Specialty: Cardiology-Telemedicine
CUERO REGIONAL HOSPITAL MEDICAL STAFF PRIVILEGES REVIEW SHEET
REAPPOINTMENT APPOINTMENT
APPLICANT NAME: .c.....h...e..t.__,.S..c..h...w.....a...b..,,._.MD........_ , _ _ _ _ _ _ _ DATE: 06/01/2020
The following has been verified by Administration:
1. Completed Application 2. Current Texas License 3. Board Certification
IfNo, explain-------,,.--------4. Current DEA CertificaJe · __,
IfNo, explain 00\= t<20UI Ye«
5. Evidence of Adequate Pr()t;sional Liability Insurance
Expiration Date: 5- /-QlDa.-1
6. Adverse information with Data Bank Queried
7. Board of Medical Examiners Queried
nor 8. Current CPR/ACLS/ATLS forER.Jrivileges
IfNo, explain
f ajjy \ {(}f.J.
9. Current ACLS or Board Cfert. to~perfo cardiac stress tests
If No, explain --i~....___,_......:::'f--3.l......._......-"""+------
10. Evidence of CME requirem nts
If No, e x p l a i n - - - - - - - - - - - - - - 11. In good standing at other hospitals where privileged
If No, e x p l a i n - - - - - - - - - - - - - - 12. Malpractice claims in the last ten years
~ ~g @No
YES@
@' .N<J
~~
~NO
YES (@; YES ®)'
@No
@NO
YES(i9j
Specialty: .P.._.at,_h=o.-lo.g.y....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Comments:-------------------------
CUERO REGIONAL HOSPITAL MEDICAL STAFF PRIVILEGES REVIEW SHEET
REAPPOINTMENT APPOINTMENT
APPLICANT NAME: .._F=az_.i=la...S.-.id=d=i.q.....·,i.-MD=-------- DATE: 06/01/2020
The following has been verified by Administration:
1. Completed Application 2. Current Texas License 3. Board Certification
If No, e x p l a i n - - - - - - - - - - - - - 4. Current DEA Certificate
If No, e x p l a i n - - - - - - - - - - - - - 5. Evidence of Adequate Professional Liability Insurance
Expiration Date: lp- \ -s:?-0:::7l
6. Adverse information with Data Bank Queried
7. Board of Medical Examiners Queried
not 8. Current CPR/ACLS/ATLS for ER privileges
If No, explain 00f6
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Current AC:LS_.erPoJlrd If No, explam
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cardiac
stress
tests
10. Evidence of CME reqmrements
If No, e x p l a i n - - - - - - - - - - - - - - 11. In good standing at other hospitals where privileged
If No, e x p l a i n - - - - - - - - - - - - - - 12. Malpractice claims in the last ten years
NO NO NO
@ NO §No
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Specialty: Psychiatry
Comments=-------------------------
Marketing and Development Board Report June 2020
Marketing Campaign Reporting/Analytics: Review reporting for all campaigns and see the creative for May/early June:
https://www.dropbox.com/home/Board%20Report%20June%202020 Video
o We did not run on YouTube in April or in May to help watch our expenses, but did resume our YouTube Preroll campaign with Wood Agency in early June, so reporting will come in the next board report.
o For June, we are rotating two :15 spots 3D Mammograms (https://www.youtube.com/watch?v=iIgUSJRBfO0) with 5.7k views since the campaign started and Cardiopulmonary Rehab as of June 11. (https://www.youtube.com/watch?v=PhyA0xUD1sA) with 5.6K views since beginning of June as of June 11.
Social Media o We didn't see as much growth with Facebook over past 28 days as COVID-19 hit a lull. We are still right behind Citizens with 3K and ahead of other rural hospitals with similar markets that I compare us to. o Twitter and Instagram continue hold their numbers. o Social media posts continue to be the main driver of traffic to our website at this time. Thanks to our partnership with Coffey for our website, we have had access to great material to share on social, as well as great info from Methodist as well!
Website o Reporting is included in the Dropbox link above. We received April reporting as well. Happy to report website traffic growth! Seeing increase over April. 5.6K users and 7.2K sessions! o Emily continues to work on SEO to increase search engine referrals to the site. This is done with particular keywords and metatags used when new content is posted to the site.
Public relations o Dueling Pianos (scheduled for Friday, July 24th) promotion posters printed and distributed, press releases sent out, videos running on social media and boosted and tables are selling quickly! o New date for the Baby Fair Saturday, Sept 26. Working with leadership on the Childbirth Center space to have logo/mission added to accent wall, as well as visuals in the space. o Press releases are seeing great traction and coverage due to slight lull period with COVID-19. Seeing great response from local media after releases submitted.
Development: o From Bump to Baby: Family and Baby Expo/ Fair rescheduled to Saturday, Sept. 26th. Currently working to finalize the speaker schedule, attendee flow through the facility and finalizing external vendors to come in for the event. o Cuero Health was featured in the new #CrossroadsCares spot developed by Building Brands Marketing, the firm that does our video production. It will be playing on local traditional media, as well as digital/social media: You can download the original video file here: https://vimeo.com/406692101
o Save the date for July 24th Dueling Pianos, Sept. 8th 50th anniversary event at the Venue, Sept. 26th baby fair at CRH, Oct. 10th Turkey Trot 5K, Oct. 20th Runway for a Cure
o Coverage in mid-May on to June 12:
o To see all press releases submitted to area print, radio, TV, magazines, etc, visit: https://www.cueroregionalhospital.org/news/
o Access Physicians: Unveiled their case study and video on telecardiology. Lynn did a great job. They are running ads to point to it, and as I was searching for articles on the local TV website, I was served an ad that pointed to the case study! https://accessphysicians.com/telecardiology
o Cuero Record: May 13 - https://www.cuerorecord.com/columns-opinions/falcone-thankshospital-staff-incredible-work May 19 - https://www.cuerorecord.com/columns-opinions/national-ems-week June 3 - https://www.cuerorecord.com/news/crh-receives-federal-statefunding-covid-19-relief%C2%A0
o Yorktown News-Views: May 13 - https://www.cuerorecord.com/columns-opinions/falcone-thankshospital-staff-incredible-work
o KAVU/Crossroads Today: May 17 - https://www.crossroadstoday.com/cuero-regional-hospital-providesa-list-of-foods-that-will-keep-the-immune-system-strong/ May 23 - https://www.crossroadstoday.com/cuero-regional-hospital-emsreceives-american-heart-associations-mission-lifeline-ems-gold-plusrecognition-award-for-2020/ May 30 - https://www.crossroadstoday.com/cuero-regional-hospital-nowoffering-state-of-the-art-genius-3d-mammography-exams/ June 9 - https://www.crossroadstoday.com/dueling-pianos-taking-place-onjuly-24/
o Victoria Advocate:
May 13 - https://www.victoriaadvocate.com/opinion/letter-cuerohealth-celebrates-hospital-week/article_e9762600-9494-11ea-bd7d9f025fc662c8.html
May 18 - https://www.victoriaadvocate.com/opinion/letter-celebrating46th-annual-national-ems-week/article_2ed20bba-9918-11ea-a188f710ce9b8787.html
May 26 - https://www.victoriaadvocate.com/news/health/cuero-wellnesscenter-to-resume-24-7-hours-in-june/article_31722862-9f87-11ea-a4f84325cd338597.html
May 31 - https://www.victoriaadvocate.com/news/business/cuero-isreopening-following-guidelines-staying-strong/article_b105cafa-a1b9-11ea8e60-cb8008dc32d1.html
June 1 - https://www.victoriaadvocate.com/covid-19/were-taking-allprecautions-experts-say-not-to-delay-emergency-care-duringpandemic/article_aae0d436-a442-11ea-b7a9-97ed6f3314ac.html
()'tr CUERO REGK>NAL HOSPfTAL
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June,2020 Board Report
Clinic Administrator Report
· Continuing to hold Clinic Leadership Meetings to keep directors focused and engaged; group doing very well
· Regular rounding on physicians · Working with IT to upgrade Allscripts so that Appropriate Use Imaging requirements can
begin to be tested and used before January 2021. This will require update of a 2008 virtual server · Continuing to look for appropriate After Hours Candidate. Several interviews held but the right candidate is not been located. Re-assessing immediate need given volume reduction with COVID19 · Working to re-start veterans assessment visits with LHI; good cash pay visits. · Working with Dr. Heard and Dr. Barth on retirement plans · Candidate to visit on 6/29
Assistant Administrator Board Report June 2020
Quality/Safety 1. The city installed the new 480 volt transformer on June 9th with no issues. The generator is now working properly.
Finance 1. The 30 Mammography was installed the 1st week of June. We have begun a marketing campaign to advertise this new service. 2. The Wellness Center is now operating at 50% capacity. Swimming lessons have begun and they currently have 35 kids signed up for lessons. 3. The lab should be receiving 2 Sofia machines during the last week of June. These machines will not only provide better sensitivity for flu and RSV tests, they will also enable us to complete a COVID 19 test in approximately 45 minutes.
Community 1. We participated in the community parade at the local nursing homes on June 9th. 2. Employees volunteered 53.5 hours in May.
BOARD REPORT NURSING ADMINISTRATION 6-12-2020
Safety/Quality
· We had 3 inpatient falls in April, with I minor injury. We also had I ER patient fall.
· We were 100% compliant with our Sepsis patients in April. We had 8 patients. Jill Saenz, QA Director, is performing a Root Cause Analysis with staff.
People
· An Ultrasound-guided Intravenous Access Class was provided for 8 of our nursing staff on 6-12-20. Introducing this skill into the hands of our nursing staff will positively influence patient outcomes, reduce delays of care and peripheral intravenous insertion attempts. The 8 staff members will then train additional nursing staff.
· We will conduct our last educational session on our new cardiac monitors on 6-22-2020. We will then place our new units into the departments. These units will have the capability of capnography which is a monitoring tool to measure the concentration or partial pressure of carbon dioxide in the respiratory gases.
· The Med Surg Nursing Unit received 13 replacement phones from WestCom. The company replaced our PIVOT phones with Versity phones at no additional cost. The PIVOT phones were difficult to use with cumbersome phone features. The staff experienced delayed and missed patient calls with the phones. WestCom is the vendor of our nurse call system. That interfaces with the phones.
· Our COVID Unit remains operational.
· We have had 2 dialysis patients in our hospital.
Growth
· Cardio/Pulmonary Rehab. began in June. We have 2 patients scheduled. Marketing materials have been developed and Jennifer Janssen, Cardio/Pulmonary Director is sending letters to announce our services to potential patients. The service is located in the first room of the Day Surgery Unit.
Community
· The residents of Cuero Nursing and Whispering Oaks smiled and waved during the Senior Parade.
Yours in service,
Judy Krupala, CNO
June,2020 Board Report Quality/Safety · Sepsis for the month of May was 100% · 4 falls - 3 inpatient and 1 ER · Department Directors were re-educated on the PDSA process and will report to Quality Committee to better align with Quarterly Quality Council · DeWitt County is up to 24 positive COVID patients. CRH has diagnosed 3 additional patients who are currently recovering at home · CRH Trained Yorktown NRC to do their own COVID testing · Group met to discuss COVID in the future, as it relates to flu and how we might handle hurricane differently
People · Staff are appreciative of the continued COVID pay; however, census has bounced back nicely
and is about as budgeted · Have a Clinic Administrator candidate who will visit June 29
Growth · We have had two dialysis patients thus far · We have had our first CardioPulmonary Rehab patient start the program · Dr. Lemley doing well working to complete his credentialing paperwork · Dr. Dale Denton is also completing her credentialing paperwork to begin our aesthetics
program and clinic work
Community · CRH staff took part in the parade to honor our local nursing home patients · DMF planning Dueling Pianos · Marketing is working on Baby Fair for September which will allow us to highlight our
refreshed/painted unit, new physicians and the experience here at CRH
Nursing Homes/QIPP · CRH has continued with Nursing Home calls · All nursing homes following state and CDC guidelines for COVID · As of our May calls, 2 homes had had positive patients but were isolating appropriately · Several homes noted staffing concerns after following guidelines that staff who worked
multiple jobs had to pick one. This was directed by the State to reduce opportunity for exposure
Quality Improvement Dashboard
GOAL
1Q2019
FY 2020
OCT NOV DEC
Quality/Patient Safety Metrics
Total RL Solutions Reported
32
26 14
Near Miss
2
5
0
Precursor
21
15 11
Serious Safety
1
0
1
Medication Error
Hand Off Communication Incidents
2-patient identifier
0
0
0
0
0
5
2
1
95% 77% 92% 93%
2Q2020
JAN FEB MAR
27 23 16
3
2
3
21 15 12
0
1
0
2
0
0
1
1
0
97% 97% 94%
3Q2020
APR MAY JUNE
17 18
1
0
11 17
0
0
0
0
1
1
98% 100%
4Q2020
JULY AUG SEPT
Medication Override-Overall
Medication Reconciliation complete < 24 hours
% Provider order entry
% Blood Transfusion Criteria compliance
% Chart Delinquency
<10% 13.0% 10.9% 9.1% 9.3% 6.6% 7.1% 9.5% 8.8% 95% 65% 70% 76% 68% 71% 76% 78% 76% 76% 95% 100% 100% 100% 100% 100% 100% 100% 100% <20% 19% 27% 30% 12% 4% 7% 19% 5%
Total Falls
0
7
Inpatient Fall Rate (# falls per 1000 pt days)
<2%
Other Fall Rate (# other falls per consolidated APD)
<0.1%
Patient Satisfaction
14.5% 0.19%
Press Ganey Texas Rank Percentile
4 0% 0.30%
1 3.7% 0%
2
3
1
3.4% 0% 0%
0.07% 0.30% 0.09%
1 5.2% 0%
4 12.7% 0.09%
HCAHPS: Overall Rating
75th 86
99 23 23 43
1
84
1
HCAHPS: Would Recommend
75th 21
15 17 54 46
35 58
1
OAS-CAHPS: Overall Rating
51st
57
46 94 12 26 45 99 45
OAS-CAHPS: Would Recommend
51st 3
23
4
25 19 95 99 99
HH-HCAHPS: Overall Rating
65th
22
99 99 99 99 31
1
HH-HCAHPS Score: Would Recommend
65th 75
Clinics Satisfaction: Overall Rating
51st 7
Clinics Satisfaction: Would Recommend
51st 8
ER Satisfaction: Overall Rating
75th 73
ER Satisfaction: Would Recommend
75th 66
Infection Control
99 17 99 99 26
1
4
9
27 24 11
7
7
8
4
30 21
2
5
4
68 34 41 81 67 82 59
88 21 23 87 79 84 54
CAUTI
0
0
0
0
0
0
0
0
0
CLABSI
0
0
0
0
0
0
0
0
0
SSI
0
2
0
1
1
0
2
1
0
Handwashing Compliance
95% 88% 88% 86% 94% 89% 90% 96% 96%
Goal Met
Clinics Quality Improvement
GOAL
Dashboard
1Q2019
FY 2020
OCT
NOV
DEC
Patient Satisfaction
Press Ganey Texas Rank Percentile
Cuero Overall Satisfaction Score:
51st 10
1
10
Cuero would recommend practice:
51st
6
6
8
Goliad Overall Satisfaction Score:
51st
1
73
2
Goliad would recommend practice:
51st
13
99
1
Kenedy Overall Satisfaction Score:
51st 92
33 46
Kenedy would recommend practice:
51st
99
99
10
Parkside Overall Satisfaction Score:
51st 46
5
3
Parkside would recommend practice:
51st
24
4
1
Yorktown Overall Satisfaction Score:
51st
7
5
3
Yorktown would recommend practice:
51st
7
4
9
Combined Clinics
Overall Satisfaction
51st
7
4
9
Score:
Combined Clinics
would recommend
51st
8
8
4
practice:
Goal Met
2Q2020
JAN
FEB MAR
3Q2020
APR MAY JUNE
4Q2020
JULY AUG SEPT
52 14 11 10 1 61 9 4 6 1 5 43 31 2 23 2 90 2 1 53 2 99 99 99 2 99 99 99 9 43 7 97 99 14 23 1 99 99 9 15 41 1 99 15 6 7 1 99
27 24 16 9 7
29 21 3 6 4
updated 6/15/2020
GOAL
Clinics Quality Measures Dashboard
1Q2019
FY2020
OCT
NOV
DEC
Quality/Patient Safety Metrics
Total RL Solutions Reported for Clinics
3
7
1
Near Miss
0
1
0
Precursor
2
4
1
Serious Safety
0
0
0
Other
1
2
0
2Q2020
JAN
FEB MAR
3Q2020
APR MAY JUNE
2
7
2
4
2
0
2
0
0
0
1
4
2
1
0
0
0
0
0
0
1
1
0
3
2
Handwashing compliance
92%
88%
93% 87% 100% 93% 92%
Core Measures
Wait Time- average time from check-in to check-out
Wait Time- average time from check-in to seeing nurse
<60 mins <20 mins
66 mins 18 mins
67 mins
65 mins
65 mins
58 mins
53 mins
46 mins
55 mins
18 mins
20 mins
17 mins
14 mins
10 mins
7 mins
11 mins
NQF 0034- Colorectal Cancer Screening according to USPSTF for patients 5075 years of age
85%
NQF 0069- children 3mths to 18yrs who were diagnosed with URI and were not dispensed an antibiotic on or three days after episode
85%
NQF 0056- Diabetic Foot Exam for patients 18-75 yrs of age with diabetes (visual inspection, sensory exam w/mono filament, and pulse exam) during the measurement year
85%
NQF 2372- Breast Cancer
Screening with mammogram for women
75%
50-74 years of age
NQF 0028- Smoking
Cessation- patients age 18
& older who were screened
for tobacco use & received 85%
tobacco cessation
intervention if identified as
tobacco user
Gestational Diabetes
Mellitus (GDM) Screening-
in pregnant women
90%
between 24-28wks
gestation
Timely Chart Closure-
percentage of charts open <15%
after date of encounter
Timely Review of Results-
number of providers
w/results outstanding for
0
month 48hrs after month
end
Goal Met
74% 90%
69% 56% 83% 67% 41% 10
76%
73%
73% 75% 72% 73% 73%
87%
87%
88% 84% 84% 88% 82%
45%
53%
59% 61% 74% 72% 64%
60%
55%
47% 56% 53% 51% 50%
80%
80%
84% 80% 80% 79% 81%
60%
33%
87% 88% 75% 88% 88%
37%
29%
27% 27% 25% 20% 22%
7
9
8
4
4
5
4
updated 6/1/2020
4Q2020
JULY AUG SEPT
OLD BUSINESS AGENDA ITEM#l
Annual Audit Report and Board Education Review and Take Appropriate Action
2020 06 25
AGENDA ITEM #1
HUMAN RESOURCES ANNUAL REPORT - Review and Take Appropriate Action Attached:
2019 Annual Report to the Board of Directors
2020 06 25
CUERO HEALTH
Cuero Regional Hospital
2019 ANNUAL REPORT TO THE BOARD OF DIRECTORS
1
CUERO REGIONAL HOSPITAL
2019 COMPETENCY REPORT
The Mission of Cuero Regional Hospital is to provide compassionate care to those we serve with a commitment to excellence in all we do. To meet this goal, the Hospital carries out the following processes and activities:
· Providing an adequate number of staff · Providing competent staff · Orienting, training, and educating staff
This report will provide a summary of the following processes and activities carried out by the Hospital:
Recruiting Turnover Terminations Resignations Credentialing Patterns, Issues and Trends
Recruiting:
1. Human Resources received 912 applications/resumes in 2019. The contributed increase in applications was due to the ability of applicants to complete the application online versus having to come to Human Resources in person or have it emailed/mailed.
Applications/Resumes
559
912
2018
2019
Data collected from Applications/Resumes Log
2
2. Available positions were posted internally in Meditech and on the CRH website. Positions were externally advertised in the Victoria Advocate, Cuero Record, The Yorktown News-View, and on Indeed and CareerBuilder websites. Indeed has been used for many years. CareerBuilder was utilized for its second and final year of our contract.
3. Hard to recruit FT and PT positions that were posted and unfilled longer than 2 months.
2018 Cuero Medical LVN & MA LabMT/MLT Med/SurgRN Radiology Tech Lab Phlebotomist EMS Paramedic, Intermediate & Basic Registration Clerk Pharmacy Tech Wellness Center Health Tech
2019 Cuero Medical LVN LabMT/MLT Home Health RN & LVN Childbirth Center RN Community Paramedic EMS Paramedic & Intermediate & Basic Registration Clerk Pharmacy Tech Information Services Director Med/Surg CNA
Excludes PRN and PHC/CBA employees
Data collected from Positions Replacement Log
3. There were 60 employees hired to fill available positions. All new hires completed hospital wide and department specific orientation processes.
Data collected from Meditech. Excludes PHC/CBA new hires
Turnover:
1. At the end of2019, 451 employees were on staff.
2. The overall turnover rate for 2018 was 23%, while in 2019 the rate was 15.71 %. The turnover rate excluded PHC, CBA and PRN employees.
Data was collected from Meditech.
3
3. In 2018, the Registered Nurses had a 23% turnover rate, while in 2019 the turnover rate was 2%. The turnover rate excludes PRN employees.
Data was collected fro m Meditech.
4. The below turnover rates are for the different classifications and excluded PRN employees:
2018
2019
Nursing
18% Nursing
6%
Clinical
15%
Clinical
17%
Other
14%
Other
14%
Home Health
0%
Home Health
16%
PHC&CBA
43% PHC&CBA
72%
Wellness
84% Wellness
37%
Clinics
32% Clinics
25%
Nursing includes RNs, LVNs and CNAs in all nursing departments. Data collected fro m Meditech
Terminations:
1. Reasons according to the Rules of Conduct:
2018
2019
Job performance/Job performance
4 Job performance/Job performance
2
during probation period
during probation period
No Call, No Show
2
Four written warnings
1 Four written warnings
2
Negligent care
1 Excessive Absences
1
Falsified Documents
1 Dishonest
1
Excludes PRN, Clinics, Wellness Center, and CBA & PHC
Data collected from Meditech
4
2018 PHC & CBA No Call, No Show Time Clock Abuse
2018 Wellness Center No Misconduct
2019 PHC & CBA
23 No call, No show
26
3 Falsified Documents/Timesheets
2
Data collected from Meditech
2019 Wellness Center No Misconduct
Data collected from Meditech
2018 Clinics Job Performance Tampering Negligent Care Four Written Warnings HIPAA Violation Dishonest
2019 Clinics
2 Falsified Time Sheet
1
1 Negligent Care
1
1
1
1
1
Data collected from Meditech
(This space intentionally left blank.)
5
Resignations:
1. Top reasons for voluntary resignations :
2018
2019
Family/Health/Personal Reasons
3 Family/Health/Personal Reasons
2
Another Job/FT Job
11 Another Job/FT Job
3
Moved Out Of Town
2 Resigned
5
Walked Out/Quit
2 Walked out/Quit
1
Retired
4 Retired
2
Resigned
2
FMLA Expired
2
Went to School
3
Contracted to Another Company
6
Excludes
PRN,
.. Chmcs,
Wellness
Center,
CBA
&
PHC
Data collected fro m Meditech
(fhis space intentionally left blank.)
6
2018 PHC & CBA
2019 PHC & CBA
Resigned
1 Another Job/FT Job
5
Another Job/FT Job
6 No Or Expired Clients
14
No Or Expired Clients
3 Moved Out Of Town
5
Moved
3 Quit Without Notice
11
Quit Without Notice
3 Resigned
4
Health/Family/Personal
11
Babysitter Issues
2
Data collected from Meditech
2017 Wellness Center Resigned
2018 Wellness Center
1 Went to School
1
Another Job/FT Job
3 Another Job/FT Job
1
Quit Without Notice
1
Data collected from Meditech
2018 Clinics Another Job/ FT Job Health/Family/Personal Went to School Resigned Quit Without Notice
2019 Clinics
5 Another Job/FT Job
4
2 Resigned
5
1 Quit Without Notice
3
3 Health/Family/Personal
1
1 Didn't Like the Work
1
Deceased
1
Data collected from Meditech
(This space intentionally left blank.)
7
Terminations and Resignations
Dept
Nursing Adm
Med/Surq ICU/PACU/DS/AMB Childbirth Cntr Surqery & CS Emergency Room Inf Ctrl/EH CM/RM/QA CS/Med Nee Cardiopulmonary Laboratory Diaq lmaqinq Nuc Med Ultrasound EMS Home Health PHC and CBA Pharmacy Grounds Materials Mqmt Business Off/Swbd. Registration HIM Fin/Gen Acct IS H R/Credentialinq Marketinq Administration Wellness Cntr Clinics Courier Volunteers Total
2018
No. Term*
or Resiqn
0
5 5 0 2 0 0 0 0 1 4 0 0 0 1 0 46 0 2 0 2 0 0 0 0 0 1 1 5 22 1 0 98
*Excludes PRN
2019
No. Term*
or Resign
0
2 1 0 0 1 0 0 0 0 2 1 1 0 2 1 81 1 0 0 1 4 1 0 1 0 0 0 2 18 0 0 120 *Excludes PRN
Data collected from Meditech
Credentialing:
1. In 2019, we credentialed 90 physicians and 6 allied health professionals. 2. There were 36 initial appointments and 60 reappointments.
8
3. There were 33 consulting physicians, 2 active staff, 0 courtesy staff, and 1 allied health professionals for initial appointments and 45 consulting physicians, 5 active staff, 5 courtesy staff, and 5 allied health professionals for reappointments in 2019.
4. We continue to have Southwest Medical Associates as our Emergency Room Physicians group.
Data collected from Priv+ and medical staff agendas
Patterns, Issues and Trends:
Turnover Rates
2019- 15.71 % *** 18.73% comparison with 33 other hospitals in Texas** 2018 -- 23% *** 17.98% comparison with 37 other hospitals in Texas** 2017 -- 18% *** 21.51 % comparison with 34 other hospitals in Texas** 2016 -- 22% *** 21.08% comparison with 34 other hospitals in Texas** 2015 -- 17% *** 19.12% comparison with 41 other hospitals in Texas**
** data from TSHHRAE wage and benefit survey *** Excludes, PHC/ CBA, and PRN
SUMMARY
Recruiting
In 2019, Human Resources received 912 applications and resumes. The number of most difficult to fill positions was 10. Online applications provided a greater number of applicants and improved the ability to hire experienced and quality employees.
Turnover
In 2019, the turnover rate was 15.71 % in comparison the 18.73% of 33 other hospitals in Texas. This information came from the Texas Society of Healthcare Human Resources and Education Association's annual wage survey. The turnover rate of all RNs excluding PRNs in 2019, was 2%.
Terminations/Resignations
Most terminations were from no call no shows. The most resignations were due to staff leaving for another job/FT job.
Credentialing
There were 36 initial appointments and 60 reappointments making a total of 96 physician and allied health professionals credentialed in 2019.
Patterns, Issues and Trends
The turnover rate increase was a trend across 33 hospitals in Texas. Our turnover rate decreased by 8.29%, whereas the TSHHRAE survey showed a 0.75% increase in the turnover rate.
9
AGENDA ITEM #2
Extension of Indigent Care Program Consider and Take Appropriate Action
The Indigent Program is approaching the $100,000 limit on the out-of-hospital expenses for indigent care. The Chief Financial Officer is requesting approval from the board to either close the program at the end of June or consider extending the program until the end of the fiscal year.
2020 06 25
AGENDA ITEM #3
Designate Representative to Golden Crescent Economic Development District - Consider and Take Appropriate Action
2020 06 25
AGENDA ITEM #4
Revised Capital Risk - Discussion Only
2020 06 25
Current Capital Risks
Dept
Item
Facility Facility
RT
Facility HH
CAPRS/PAPRS UV Disinfection Light
High Flow Cannula
Infrastructure/Plumbing Laptops
6/17/2020
Cost
Urgency Explanation
Current equipment is 15 yo PAPRS and not functional; new batteries no longer available. These
will allow staff to care for PUI/COVID patients safely & comfortably while saving PPE.and add 5
$
30,000 for total of 10; long term COVID care
$
75,000 UV Light to disinfect masks and can be used to disinfect rooms/areas
Current equipment/systems allow up to 15L of 02; Current COVID treatment can be up to 60L of
$
12,000 02. COVID here to stay; reduce future transfers
Estimated amount for continued Plumbing repair for 2nd corridor on MedSurg for future COVID
$ 100,000 Unit; add corridor doors to close off unit;
$
2,800 Current laptops not functioning properly at all times. Needed to document/bill
Facility ER
Telemetry Telemetry
PACS Storage
EMS EMS
EMS
Imaging
LifePak Lucas
Video Laryngoscopes
Several downtime issues; no longer supported by company. If it crashes we no longer can
provide telemetry monitoring will result in, loss of volume. Price includes Hospital and ER
$
170,000 allowing one system vs two old systems. ER was budgeted for FY21
$
- Intermittant issue; budgeted in FY21 $50k; More efficient to add to above
Planned for FY21; however, with increased volume of new MRI change needed sooner to
include new equipment and software. Updated storage will allow us to have one onsite copy
and one cloud based copy which will keep us more secure from data destruction. Upgrade will
also allow us to electronically share exams with offsite physicians and securely transmit them in
a format that physician can save at their location. Will decrease annual service fee from 72K to
$
335,000 12K annually
Item was dropped; held together with a zip tie. No longer supported by vendor. Not budgeted
$
42,000 for this year.
$
18,000 We have one and it is used in ER and on scenes
Currently we do not have, using this equipment minimizes space between patient and
$
5,000 intubation. 2 X $2500
Facility
IT Kenedy RHC
Infrastructure
$
IT Servers/Network/Back Up $
Roof Replacement
$
75,000 Architects needed to assess OR/HVAC; Lab to accommodate COVID testing equipment Servers are intermittently have problems. In the past two weeks, system taken down for emergent repair and replacement of drives. Houses all meditech, loss of servers takes down
1,100,000 clinical and financial systems Roof has been repaired but continues to leak. Concern with RHC Survey anticipated this
86,000 summer. Working to get additional quotes
Goliad RHC
Surg/Anesthesia TOTAL
HVAC/conversion from gas
to electrical
$
Anesthesia Machine
$
$
Install new 320 AMP electrical service to Goliad Clincia & replace a 3 Ton and 4 Ton split AC system. Getting multiple quotes on electrical work. This includes new electric a/c and heater and the electrical to rewire for electric heat so we can do away with natural gas. The current 15,000 unit is over 15 years old and is leaking Freon and is no longer serviceable
This is the OB unit. Out of date, end of life, GE does not have parts readily available. If machine 72,000 goes down, no replacement in hospital. Machine is 18 years old. 2,137,800
AGENDA ITEM #5
Capital Expenditure Request for CAPRS Review and Take Appropriate Action
Proposals Attached:
Owens & Minor Grainger
DQE
$30,112.60 Recommended $33,161.20 $34,150.32
2020 06 25
CAPITAL EXPENDITURE REQUEST
HOSPITAL/ENTITY Cuero Regional
DEPARTMENT MedSurg, E R, I CU, OB, Surgery
DATE PREPARED 6-18-20
Is the requested purchase in compliance with the Healthtrust GPO? NO-Due to COVID not counted against us. They do not carry the product. Grainger is on Contract.
PROJECT NAME Powered A ir Purifying Respirators--See attached sheets.
D
E PROJECT DESCRIPTION
s 3M Versaflo TR-300+ Series Complete Systems PAPR's c
R
I
JUSTIFICATION
lndiate present situation, need for the item requested and alternative considerations.
p Personnel Protective Equipment for staff-COVID-lnfectious Diseases
DESIRED DELIVERY/START DATE ASAP
PURPOSE FOR REQUEST
New Service
D
Replacement
0
Code Compliance
D
T BUDGET REFE REN CE
I
BUDGET LINE ITEM
IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME?
0 Protection for employees-COVID
Amount Budgeted
0
N Replacement of old equipment 2007 Battery Life 5 years
F EQUIPMENT/PROJECT COSTS
I
$30,000.00
Attach copies of proposals
Bid #1
Bid #2
Bid #3
ASSET DISPOSITION DATA Description of Disposed Assets:
N
Owens &
Name of Bidder
Minor
Grainger DQE
Retired
A Land and/or Acquisition
N Construction
BOOK VALUE OF DISPOSED ASSET
I
c Equipment
METHOD OF
Trade In
D
I
TOTAL COSTS
$30,112.60 $33,161.20 $34,150.32
DISPOSITION
Sale
D
A
Less Trade In
$0.00
$0.00
$0.00
Abandonment
D
L NET CAPITAL REQUIRED
RECOMMENDATION (Check one)
$30,112.60 $33,161.20 $34,150.32
0
D
D
A
u DEPARTMENT HEAD
Q\ T
H
~}. '9 / 0. t(V\\JN\~V\
0
'\
\.
ij
R SLT LEAD ER
t, ' I
z
Q~,1,1/>A ;a1__
A
I
I q I ~ I DATE:
'1.ll::l. C)
l
I
DATE: 0/;q /,;i.ocJt]
I r/
T CHIEF EXECUTIVE OFFICER or CHIEF FINAN CI AL OFFICER
I
0
DATE:
N
Board Member Signature if greater than $5,000
DATE :
BIDS for Powered Air Purifying Respirators
OWENS & MINOR--First Choice
Na m e 3-M Soft Hood P APR System Kit MIL DLC Lens-Cuff SIM DLC Lens-Cuff 3-M Hard Hat with Face Shield 3-M HE Filters S-Series Hood/C-Collar Grand Total
Number 10 6 100 6 16 4
Each Cost $ 867.26 $ 129.03 $ 129.03 $ 1, 147.25 $ 40.35 $ 58.43
Total $ 8,672.60 $ 774.18 $ 12,903.00 $ 6,883.5 0 $ 645 .60 $ 233 .72 $ 30,112.60
Grainger--Second Choice
Name PAPR System Kit Hard PAPR System MIL DLC Lens-Cuff SIM DLC Lens-Cuff HE Filter
Number 10 6 30 4 3
Each Cost $ 1,010.72 $ 2,363 .00 $ 236.00 $ 236.00 $ 284.00
Total $ 10, 107.20 $ 14, 178.00 $ 7,080 .00 $ 944.00 $ 85 2.00
Grand Total
$33,161.20
DQE--Third Choice
Name Soft Hat Kits MIL DLC Lens-Cuff SIM DLC Lens-Cuff Filter Battery Chargers NSI Battery Kit Grand Total DQE do not carry Hard Helmets
Number 10 30 4 16 16 16 6
Each Cost $1 , 148.00 $ 105.00 $ 105.00 $ 40.35 $ 300.00 $ 479. 17 $ 998.00
Total $ 11,480.00 $ 3, 150.00 $ 420.00 $ 645.60 $ 4, 800 .00 $ 7,666.72 $ 5,988 .00 $ 34, 150.32
6/19/2020
3M PAPR System Kit, MIL, Belt-Mounted, Cartridges Included HE Filter, Integrated Suspension -475M39ITR-300N+ HKL - Grainger
Product Catego ries I Safety I Respiratory Proteclion I PAPR I PAPR System Kit, MIL, Belt-Mounted, Cartrldg·.
_o '._ · ---~r-~1-1J-, -~-- --=~ai~ I
3M
-
PAPR System Kit, M/L, Belt-Mounted, Cartridges Included HE Filter,
Integrated Suspension
llem # 47SM39 Mfr. Model# TR-300N+ HKL Catalog Page II NIA UNSPSC # 46182007
Your Price 0 $1,010.72 /each
Add to Cart +Add to List I + Add to Quote
Confirm ZIP Code to determine
avanablllty.
1 ln954
IE
Sh ipping Weight 11.0 lbs.
Country of Origin USA I Country of Origin Is sub/ecr to change.
Nore: Product avallablliry Is reaf·llm· vpdared snd adjusted continuously. The produot w/11 be reserved for you when you complete your order. More
', How can we Improve our P1oduct lmag~s 7
0 Compare
Technical Specs
---- ------ -
llem
PAPR System Kit
PAPil Mount
l e lH~o u n~ed
------ Mask Size
M/L
- - --------- ...
·- · -· · ~-·---·- ---
--·· -
Includes
Headcover, Length Adjusting Breathing Tube with Breathing Tube Cover, Carrying Bag,
PAPR Unit, Easy Clean Belt, High Capactly Battery, Battery Charger Kit, HE Filler,
Pref1lter, Airflow Indicator
BatteiyType
High Capacity Lithium Ion· Rechargeable
Canridges Included htr insic;i l'y Safe Sus pensi on Headgear Included Window Material Standards
HE Filter No Integ rated Yes Polyethylene Te1ephlhalate NIOSH
https://wwW.gralnger.com/producU3M-PAPR-System-Kit-475M39?searchBar=true&searchQuery--475m39
@ Chat with an Agenl 1/2
6(18/2020 '
3M Powered Air Purifying Resp irator, Universal , Belt-Mounted , Cartridges Included HE Filter - 475M29j1334272 - Grainger
Product Categories I Safety I Respiratory Protect ion I PAPR I Powered Air Purifying Respirator. Universal, ...
·~ Intern al Search Feedback
~Em a i l
3M
Powered Air Purifying Respirator, Universal, Belt-Mounted, Cartridges Included HE Filter
Item# 475M29 Mfr. Model# 1334272 Catalog Page# N/A UNSPSC # 46182007
·~ How can we improve our Product Images?
0 Compare
Web Price O $2,363.00 I each
Add to Cart
+ Add to List I Quantity Limit: 20
@ Q Shipping
Pickup
A Expected to arrive by end of
Aug, 2020.
Ship To 77954 (Change)
A COVID-19 has created unprecedented demand for pandemic-related items . Availabi lity & pricing are subject
to change without notice due to high demand, limited supply & cost changes. Grainger reserves the right to limit quantity, frequency of purchase and discounts on any items.
Shipping Weight 14.4 lbs.
Country of Origin USA I Country of Origin is subject to change.
Note: Product availability is real-time updated and adjusted continuously. The product will be reserved for you when you complete your order. More
Technical Specs
Item PAPR Mount Mask Size In cludes
Battery Type
Powered Air Purifying Respirator
Belt-Mounted
Universal
Respiratory Hard Hat Assembly with Premium Visor, Face Seal, Safe PAPR Unit, Safe Battery, Battery Attachment Tool, Length Adjusting Breathing Tube, High Durability Belt, OV/AG/HE Cartridge, Filter Cover, Single Station Battery Charger Kit, Airflow Indicator, High Temperature Breathing Tube Cover, (2) Prefllter, (2) Spark Arrestor, Storage, Cleaning Kit
Lithium-Ion Rechargeable
Cartridges Included Intrins ically Safe Suspens ion Headgear Included For Use With
Window Material Standards
HE Filter
Yes
Ratchet
Yes
3M(TM) Versaflo(TM) TR-800 Series Powered Air Purifying Respirator, 3M(TM) Versaflo(TM) TR-802N Safe Replacement Motor/Blower
Polycarbonate
NIOSH
https://www.grainger.com/product/3M-Powered-Air-Purifying-Respirator-475M29?
:{ @ Chat wiin ar. A£F.nl 1/2
6,'1812020
~
\
3M PAPR System Kit, M/L, Belt-Mounted , Cartridges Included HE Filter, Integrated Suspension - 475M39jTR-300N+ HKL - Grainger
Product Categories I Safety I Respiratory Protection / PAPR / PAPR System Kit, M/L, Belt-Mounted, Cartridg ...
·, Internal Search Feedback
~ Em a il
3M
PAPR System Kit, M/ L, Belt-Mounted, Cartridges Included HE Filter, Integ rated Suspension
Item# 475M39 Mfr. Model# TR-300N+ HKL Cata log Page# NI A UNSPSC # 46182007
Web Pri ce O $1,409.00 I each
Add to Cart + Add to List I
@ Q Shipping
Pickup
A Item is not available for
purchase.
Ship To 77954 (Change)
Shipping Weight 11.0 lbs.
Count ry of Origin USA I Country of Origin is subj ec t to change.
Note: Product availability is real-time updated and adjusted continuously. The product will be reserved for you when you complete your order. More
·pll How can we improve our Product Images?
0 Compare
Technical Specs
Item PAPR Mount Mask Size Includes
Battery Type
PAPR System Kit
Belt-Mounted
M/L
Headcover, Length Adjusting Breathing Tube with Breathing Tube Cover, Carrying Bag, PAPR Unit, Easy Clean Belt, High Capacity Battery, Battery Charger Kit, HE Filter, Prefllter, Airflow Indicator
High Capacity Lithium Ion - Rechargeable
Cartridges Included Intrinsically Safe Suspension Headgear Included Window Material Standards
HE Filter No Integrated Yes Polyethylene Terephthalate NIOSH
https ://www.grainger.com/ producU3M-PAPR- Syste m - K it-475M39?
/ lfO Chat w1tn ~n Agenl
1/2
6i 18/202 0 '
3M Hard H at, Universa l - 11W0021M-30 7 - Gra in g er
Product Categori es I Safety I Respiratory Protection I PAPR and Supplied Air Hoods and Helmets / . ·, Internal Search Feedback Hard Hat, Universal
~Ema i l
3M
Hard Hat, Universal
Item # 11 W002 Mfr. Model# M-307 Cat alog Page# 1769 UNSPSC # 46182007
Web Price O $485.00 I each
Add 1o Cart + Add to List I
@ Q Shipping
Pickup
Expected to arrive Fri. Jun 19.
Ship To 77954 {Change)
A COVID-19 has created unprecedented demand for pandemic-related items. Availability & pricing are subject
to change without notice due to high demand, limited supply & cost changes. Grainger reserves the right to limit quantity, frequency of pu rchase and discounts on any items.
@ .., " Jump to:
Required Accessories
·~ How can we improve our Product Images?
0 Compare
Shipping Weight 4.16 lbs.
Country of Origin USA I Country of Origin is subject to change. Note: Product availability is real-time updated and adj usted continuously. The product will be reserved for you when you complete your orde' More
Product Details
View More v
Technical Specs
Item Mask Size Lens Materi al Suspension
Hard Hat Universal Coated Polycarbonate 6 Point
For Use With In cl udes Stand ards
Certain 3M{TM) Powered Air Purifying and Supplied Air Respirator Systems
Easy Clean Belt, Flame Resistant Faceseal, Reducing Ratchet, and Visor Covers
NIOSH Approved
https ://www.grainger.com/product/3M-Hard-Hat-11 W002?
..@ Chat with an Agent
113
6!181,20( 0 '
3M Head Cover, M/L, White - 6PPG9jS-133L-5 - Grainger
·Fl Product Categories I Safety I Respiratory Protect ion I PAP R and Supplied Air Hood s and Helmets /
Internal Search Feedback
Head Cover, M/ L, White
~Ema il
3M
Head Cover, M/L, White
Item # 6PPG9 Mfr. Model # S-133L-5 Cata log Page # 1769 Catalog Grou p # H6717 UNSPSC # 46182007
Web Price O $236.00 I pkg. of 5
,<\dd 'io Cart + Add to List I
Confirm ZIP Code to determine
availabil ity.
177954
I ~
Shipping Weight 2 .3 lbs.
Country of Origin USA I Country of Origin is subject to change.
Note: Product availabilffy is real-time updated and adjusted continuously. The product will be reserved for you when you complete your order. More
·l"I How can we improve our Product Images? 0 Compare
Product Details
View More v
Technical Specs
Item Mask Size Color Material Lens Material
Head Cover M/L White Polypropylene PETG
Suspens ion For Use With Standards
Integrated
Certain JM(TM) Powered Air Purifying and Supplied Air Respirator Systems
NIOSH Approved
h t t p s :/ / w w w.g r a i n g e r.c o m / p r o d u c U 3 M - H e a d - C o v e r - 6 P P G 9 ?
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4509R300NH KL
\'
CUERO COMMUNITY HOSPITAL- 200
HEALTHCARE P.A.PR KIT ME!J-LRG
Kit Healthcare Papr Medium Large Disposable/sngle Use
Non-Stock Item: This product is available from Owens &Minor although it may not be stocked lo·-<'lily Contact your local Custorndr Service 1epresentative for 'u<S.0.- ;·-Ju,.n .at!on
Description O&MProduct #: 4509R300NHKL 3M COMPANY (3M) Product# : TR-300N+HKL
Contract Price Date: 6/18/2020 Contract Number: Not on Contract Contract Type : Effective Date: Expiration Date:
Stock Indicator: Non-Stock () O Available
* $867.2600 per EACH - ·1 ~
* Denotes the minimum purchase unit of measure for the Distribution Center
~ Denotes the purchase unit of measure for O&M
_::::_:: ~ ( \'. L1 l''I . . . . . . . ~f\l i'~~
6/18/2020 11 :57:49 AM
Page 1
© 2020 Owens & Minor. All rights reserved .
~ ~ ...-- -...-._. ~ =(&)wMPi'1...n..1..J.1o..c~r
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4509R300NHI K
CUERO COMMUNITY HOSPITAL- 200
KIT 3M VERSAFLO HEAVY INDUSTRY PAPR
Kit 3m Versaflo Heavy Industry Papr Tr-300n+ Hik Latex Free Non Sterile
Non-Stock Item: This product is available fmrn Owens &Minor although it may not be stocked locdlly_ Contact your local Customer Service representative fo· further information_
Description O&MProduct #: 4509R300NHIK 3M COMPANY (3M) Product# : TR-300N+ HIK
t~ce 1- , ~
Contract Price Date: 6/18/2020 Contract Number: Not on Contract Contract Type: Effective Date: Expiration Date:
Stock Indicator: Non-Stock () o Available
$1147.2500 per EACH -1 ~
* Denotes the minimum purchase unit of measure for the Distribution Center
~ Denotes the purchase unit of measure for O&M
611812020 4:54:59 PM
Page 1
© 2020 Owens & Minor_ All rights reserved .
-.._.-..;,_ --. ·.=- Owens
~ &Minor
-~------
4509813385
CUERO COMMUNITY HOSPITAL- 200
HEADCOVER VERSAFLO WHITE SML/IVIEDIUM INTEGRATED HEAD SUSPENS!ON
Versaflo Headcover With Integrated Head Suspension White Small/Medium
Non-Stock Item: This product is avaiiable from Owens &Minor a!thougn it may nol b8 stock~. i 1oc:i!ly Contact your local \ustomer Service representative for further information.
Description O&MProduct #: 4509S133S5 3M COMPANY (3M) Product# : S133S5
Contract Price Date: 6/18/2020 Contract Number: Not on Contract Contract Type: Effective Date: Expiration Date:
Stock Indicator: Non-Stock() o Available
~.§ t;.,,.
WIWI ,,.;, lid··...
$25.8100 per EACH - I $129.0300 per CA-CA~f · 5 EACH ~* $129 .0300 pet CS-CASE: - 5 EACH
* Denotes the minimu m purchase unit of measure for the Distribution Center
~ Denotes the purchase unit of measure for O&M Denotes an unavailable customer purchase unit of measure
6/18/2020 12:16:59 PM
Page 1
© 2020 Owens & Minor. All rights reserved .
._
--
4509S133L5
CUERO COMMUNITY HOSPITAL- 200
HEADCOVER VERSAFLO WHITE MED/LARCI'.: DROPSHIP PREFERRED
Versaflo Headcover With Integrated Head Suspension White Medium/Large-MSS
Non-Stock Item: This product 1s available from Owens &Minor although ;[ rnay noi t)e stocked iocaily. Contact your local Customer Service representative for further information.
Description
...,,,..,
O&MProduct #: 4509S 133L5
3M COMPANY (3M) Product# : S-133L-5
~ a@~J
Contract Price Date: 6/18/2020 Contract Number: Not on Contract Contract Type : Effective Date: Expiration Date:
Stock Indicator: Non-Stock () OAvailable
$23 .9700 per EACH - 1
* $119.8600 per CA-CASE - 5 EACH ..
$119.8600 per CS-CASE - 5 EACH
* Denotes the minimum purchase unit of measure for the Distribution Center
~ Denotes the purchase unit of measure for O&M Denotes an unavailable customer purchase unit of measure
s..=..==:=..==;=s ·\.'-I .~'I
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6/18/2020 12:23:04 PM
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450900.8655
CUERO COMMUNITY HOSPITAL - 200
S-SERIES HOOD WITH COLLAR
Hood Assembly With Inner Collar And Premium Head Suspension Standard White Latex Free Non Sterile Reusable 3m Versaf\o
Non-Stock item : This product is avai[able from Owens &Minor although it.may jlot be stocked locally. Contactyour locar C~stomer Service representative for further iriforr:nation.
Description O&MProduct #: 450900S655 3M COMPANY (3M} Product# : S-655
~
Contract Price Date: 6/19/2020 Contract Number: Not on Contract Contract Type: Effective Date: Expiration Date:
Stock Indicator: Non-Stock <l o Available
- S§Owens wawisJ..1inor
$58.4300 per EA CH · 1 $58.4300 per CA-CAS E - 1 EACH,.
$58.4300 per CS-CASO: - 1 EACH
r--~- - --- - - - ··-· - ·· - -
- .......
* .benot~sthe·minimu~ pu~chase of"me~~ure Qislrib~tioff Cenler 1-
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--- --- - ·- -- - - - - -- - -- - -
--- · ~ · - -
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611912020 10:16:56 AM
Page 1
~ 2020 Owens & Minor. All rights reserved.
·6r 18/202b
3M Versaflo 300 PAPR Kit with Hood - DQE
3M Versaflo 300 PAPR Kit with Hood SKU: #HM5813
Experience the comfort and unique featu res of t he Versaflo 300 res pirator system, ideal for healthcare professionals.
PRICE: $1,148.00
Buy at: https://shop.dqeready.com/3m-versaflo-300-papr-kitwith-hood/ or call 800-355-4628
DESCRIPTION
The 3M Versaflo 300 PAPR is a lightweight, compact, and well-balanced belt-mounted unit for positive pressure respiratory protection against airborne particulates. The slim profile is designed for use in tight spaces, and the smooth contoured outer surface is less prone to snagging on nearby objects, ma king the Versaflo 300 ideal for healthcare settings. Capacity to work w ith a wide variety of headtops, filters and cartridges. Battery charger sold sepa ra t ely.
Available As
· 3M Versaflo 300 PAPR Kit with Hood (HM5813)
SPECIF ICATIONS
3M Versaflo 300 PAPR Kit with Hood (HMS813)
· Two types of alarms - one audible and one LED - alert the user to either a low battery or low airflow. · The air inlet draws air from the bottom of the unit, making it eas ier for the wearer to sit without block ing the airflow intake. · The small, single air inlet helps make decontamination easier and faster. · The length adjusting breathing tube features a quick release swivel connection, which connects quickly to the headgear and is
designed to minimize loops and kinks in the breathing tube. · EasyClean vinyl belt allows for thorough cleaning and reuse. · Battery Life: 8-12 hours (Charger sold separately) · 3M Versaflo 300 PAPR Blower Unit Model#: TR-302N + · Includes 3M hood model S-655 with single shroud
https ://shop .dqeready.com/3m-versaflo-300-papr-kit-with-hood /
1/3
'6;' 18/ 2 0 2 d
3M Versaflo 300 PAPR Kit with Hood - DQE
CONTENTS
o Kit includes: o 3M Versaflo 300 PAPR Blower Unit o 3M Breathing Tube Assembl y o 3M Airflow Indicator · Single Shroud Hood · High Capacity Battery · HE Filter · Easy Clean Vinyl Belt
· Battery Charger not included
ADDITIONAL INFO
Documents · Battery Maintenance for 3M Versaflo Respirato r Sys tem s · 3M OSHA Best Practices for Hospital-Based First Receivers · Versaflo 300 - Inspection, Cleaning and Storage Procedures for 3M '"' TR-300 PAPR Assemblies
Videos
"Easy to Use" - 3MTM VersafloTM 300 Powered Air Purifying Respirator Systems 3MTMVersafloTM300 Powered Air Purifying Respirator (PAPR) Systems are intu itive and designed for ease of use. Length: 00:55
"Easy To Use" - 3M TM Versaflo TM Powered Ai...
a
"Reliable Protection " - 3MTM VersafloTM 300 Powered Air Purifying Respirator Systems
3MTM VersafloTM 300 Powered Air Purifying Respirator (PAPR) Systems help provide reliable, integrated respiratory protection. Length: 01:10
https ://shop .dqeready.com/3m-versaflo-300-papr-kit-with-hood/
213
61'18/2020'
3M Headcover for Versaflo PAPR - DQE
3M Headcover for Versaflo PAPR SKU: #HMS808
Headcover for 3M Versaflo Respirator directs positive airflow into the breath ing zone.
PRICE: $105.00
Buy at: https://shop.dqeready.com/3m-headcover-for-versaflopapr or call 800-355-4628
DESCRIPTION
The 3M Versaflo Headcover is a loose fitting facepiece approved for use with the 3M Versaflo 300 PAPR (HM5814) and 3M Versaflo 600 PAPR (HM5620). This headcover gives the user a wide field of vision, allowing patients to see their provider's face, helping to facilitate communication. Available in sizes small and large.
Available As
· 3M Headcover for Versaflo - Small (HM5808S) · 3M Headcover for Versaflo - Large (HM5808L)
SPECIFICATIONS
3M Headcover for Versaflo (HM5808S), (HM5808L)
· Allows patients to see their provider's face, helping to facilitate communication . · The unique shape of the headcover allows for easier use of a stethoscope. · The new visor design gives providers a wide field of view. · Fabric Type: Polypropylene Coated Non-woven Polypropylene. · Air flow range: 170 to 225 LPM (6 to 15 CFM) · Head Suspension: Integrated (adjustable plastic suspension) · Contains no components made from natural rubber latex. · Size Small: Head Circumference 50 - 58 cm (US Hat Size 6 'I. - 7 Y.)
Size Large: Head Circumference 54 - 64 cm (US Hat Size 6 %- 8) · 3M Model#: 5-133
https://shop .dqeready.com/3m-headcover-for-versaflo-papr
1/2
3M V'ersaflo 300 PAPR Kit - DQE
Page 1of5
3M Yersaflo 300 PAPR Kit SKU: #HM5814
Experience the comfort and unique features of the Versaflo respirator system, ideal for healthcare professional s.
PRICE: $998.00 Buy at: https://shop.dqeready.com/3m-versaflo-300-papr-kit/ or call 800-355-4628
DES CRIPTION
The 3M Versaflo 300 PAPR is a lightweight, compact and well -balanced belt-mount ed unit for positive pressure respiratory protection against airborne particulates. The slim profile is designed for use in t ight spaces, and the smoot h contoured outer su rface is less prone to snagging on nearby objects , making the Versaflo 300 ideal for healthcare settings. Head cover and battery charger not included.
Available As · 3M Versaflo 300 PAPR Kit (HM5814)
SPECIFICATIONS
3M Versaflo 300 PAPR Kit (HM5814) · Two types of alarms - one audible and on LED - alert the user to either a low bat tery or low airflow. · The air inlet draws air from the bottom of the unit, mak ing it easier for the wearer to sit without blocking the airflow intake. · The small , single air inlet helps make decontamination easier and fa ster. · The breathing tube features a quick release swivel connection , which connects qu ickly to the headgear and is designed to minimize loops and kinks in the breathing tube. · EasyClean vinyl belt allows for thorough cleaning and reuse. · Battery Life: 8-12 hours (Charger sold separately) · 3M Blower Unit Model#: TR-302N +
https://shop.dqeready.com/3m-versaflo-300-papr-kit/
6/18/2020
3M Versaflo 600 PAPR Kit - DQE
Page 1 of 3
3M Versaflo 600 PAPR Kit SKU : #HM5620
Experience the comfort and unique fe atures of the Versaflo 600 respirator system, idea l for healthcare professionals.
PRICE: $1 ,245.44
Buy at: https://shop.dqeready.com/3m-versaflo-600-papr-kit/ or call 800-355-4628
DESCRIPTI ON
The 3M Versaflo 600 PAPR is a lightweight, compact and well-ba lanced belt-mounted unit for positive pressure respiratory protection against airborne particulates. The slim profile is designed for use in tight spaces, and the smooth contoured outer surface is less prone to snagging on nearby objects, maki ng the Versaflo 600 ideal for healthcare settings. The blower un it introduces multiple speeds, audible, visual and vibrat ory alarms and the capacity to work with a w ide variety of headtops, filters and cartridges. Battery charger sold separate ly.
Available As
· 3M Versaflo 600 PAPR Kit (HM5620)
SPECIFICAT IO NS
3M Versaflo 600 PAPR Kit (HM5620)
· Audible, LE D and vibrating alarms - aler t the user to either a low battery or low airflow. · Multiple blower flow rate speeds · The air inlet draws air from the bottom of the unit, making it easier for the wearer to sit without blocking the airflow intake. · The small, single air inlet helps make decontamination easie r and faster. · The breathing tube features a quick release swivel con nection, which connects quickly to the headgear and is designed to
minimize loops and kinks in the breathing tube. · Filter cover helps protect filter cartridges from physical damage and enables PAPR to be worn through deconta mination
showers or in the rain. · Meets IP53 rating wh ile in use in decontamin ation shower · Meets IP67 rating when used with cleaning and storage plugs to enable full submersion for easy clean -u p and decontamination
https://shop .dqeready.com/3m-versaflo-600-papr-kit/
6/18/2020
3M Versaflo 600 PAPR Kit - DQE
o EasyClea n vinyl bel t allows fo r t horough clean ing and reuse. e Battery Life: 4-12 hours (Charger sold separately) o 3M Blower Unit M odel#: Versaflo TR -602 N
Page 2of3
CONTENTS
e Kit Includes: · Blower Unit · 3M Breathing Tube Assembly - Ver-saflo (HM5811) · 3M Airfl ow In dicator - Versafl o 600 (H M5603) · 3M Standard Capacity Battery - Versaflo 600 (HM560 1) · 3M Multi-Contaminant Fi lter - Versaflo 600 (HM5604) · 3M Cover for M ulti-Conta in ment Filt er - Versaflo 600 (HM561 1) · 3M Easy Clean Vin yl Belt - Versafl o 600 (HM5602)
· Battery Charger and Hood not included
ADDI TI ONAL INFO
Documents
· 3M TR-600 Data Sheet · 3M OSHA Best Practices for Hospita l-Based First Receivers · Battery Ma intenance fo r 3M Versafl o Respirator Syst ems
Videos
· 3M Versaflo 600 Startup Seq uence NIOSH - Length: 00:22 · 3M Versafl o 600 Introduction - Length: 02:59
Links
Accessories for 3M Versaflo 600 PAPR:
· 3M 4-Station Battery Charger - Vers aflo 600 (HM5608) · 3M Singl e Stat ion Battery Charger - Versaflo 600 (HM5607) · 3M Breathing Tube Assembly - Versaflo (HM5811) · 3M Airflow Indicator - Versaflo 600 (HM5603) · 3M Easy Clean Belt - Versaflo 600 (HM5602) · 3M HE Filter - Versaflo 600 (HM5605) · 3M M ulti -Cont ainment Filter - Versaflo 600 (HM5604) · 3M Cover for Mu lti-Containment Filt er - Versafl o 600 (HM5611) · 3M Cover for HE Filter - Versaflo 600 (HM5612) · 3M Headcover for Versafl o PAPR (HM5808) · 3M Hood with Double Shroud for V ersaflo PAPR (HM5812) · 3M Hood with Single Shroud for Versaflo PAPR (HM5815) · 3M High Capacity Battery - Versaflo 600 (HM5606) · 3M Standard Capacity Battery - Versaflo 600 (HM5601) · Canvas Bag - 3M PAPR (HM5609) · 3M Versaflo 600 Cleaning and Storage Kit (HM5610)
PPE Return Policy: Due to the hazardous nature of using personal protect ive equipment, this product is not eligible for return.
https://shop.dqeready .com/3m-versaflo-600-papr-kit/
6/18/2020
31vf Battery Charger - Versaflo 300 - DQE
DQE'
3M Battery Charger - Versaflo 300 SKU: #HMS801IHM5804 Versaflo Lithi um Ion battery chargers for single battery or 4 battery charging.
Page I of 3
PRICE: $23 5.00 · $8 76.00 Buy at: https://shop.dqeready.com/3m-battery-charger·versaflo300/ or call 800-355-4628
DESCRI PT ION
Battery chargers for the 3M High Capacity Battery - Versafl o 300 (HM5807). Available As
· 3M Single Station Battery Charger - Versaflo 300 (HM5801) · 3M 4-Station Battery Charger - Versaflo 300 (HM5804)
SPECIFICAT IONS
3M Single Station Battery Charger - Versaflo 300 (HM5801) · Consists of a power supply cord and a battery cradle · 3M Model#: TR-341N
3M 4-Station Battery Charger - Versaflo 300 (HM5804) · Consists of a power supply, charging platform , and four battery cradle s. · 3M Model#: TR-344N
CONTENTS
https://shop.dqeready.com/3m-battery-charger-versaflo-300/
6/18/2020
6/18/2020
3M HE Filter - Versaflo 300 SKU: #HMS805 HEPA filter for the Versaflo 300.
3M HE Filter - Versaflo 300 - DQE
PRICE: $40.35
Buy at: https://shop.dqeready.com/3m-he-filter-versaflo-300 or call 800-355-4628
DESCRIPTION High Efficiency (HE PA) filter for the Versaflo 300 PAPR re spirator (HM5800). Available As
· 3M HE Filter - Versaflo 300 (HM5805)
SPECIFICATIONS 3M HE Filter -Versaflo 300 (HMS SOS)
· 3M Model#: TR-3712N · 5 year shelf life
CONTENTS · 1 Filter
ADDITIONAL INFO PPE Return Policy: Due to the hazardous nature of using personal protective equipment, this product is not eligible for return.
https ://shop.dqeready.com/3m-he-filter-versaflo-300
1/2
.
6/18/2020
3M High Capacity Battery - Versaflo 300 - DOE
DQE'
3M High Capacity Battery· Versaflo 300 SKU: #HM5807
A high capacity Lithium Ion battery for the 3M Versaflo PAPR.
PRICE: $308.50 Buy at: https://shop.dqeready.com/3m-high-capacity-batteryversaflo-300 or call 800-355-4628
DESCRIPTION
3M Versaflo 300 PAPR high capacity Lithium Ion battery, with a battery life of 8 to 12 hours. LED lights on the battery ind icate its charge status, both on and off the charger - great for quick identification in emergency situations. For use with the 4-Station Battery Charge r (HM5804) or Single Station Battery Charger (HM5801).
Available As · 3M High Capacity Battery-Versaflo 300 (HM5807)
SPECIFICATIONS
3M High Capacity Battery - Versaflo 300 (HM5807) · Charging time: less than 3.5 hours · Battery Life: 8-12 hours (Estimated time based on testing with a new battery and a new clean filter at 68 degrees F. Actual system run time may be extended or shortened depending on system configuration and environment.) · 9 month shelf life before needing to be recharged. Up to 250 charge cycles. · Weight: 2.4 lb (includes weight of belt, filter, battery, and filter cover) · OSHA Assigned Protection Factor: APF of 25 or 1000 depending on headgear combination. · 3M Model#: TR-332
CONTENTS
http s ://sh op .dqeready.com/3m-high-capacity-battery-versaflo-300
1/2
' 6/18/2020
3M Breathing Tube Assembly - Versaflo - DQE
3M Breathing Tube Assembly - Versaflo SKU: #HM5811
Replacement length adjusting breathing tube for the 3M Versaflo PAPR.
PRICE: $70.00
Buy at: https://shop.dqeready.com/3m-breathing-tube-assemblyversaflo or call 800-355-4628
DESCRIPTION
Use the Versaflo Breathing Tube Assembly to connect the 3M Versaflo 300 PAPR (HM5800) and 3M Versaflo 600 PAPR (HM5600). The blower forces filtered air from the PAPR, through the Breathing Tube Assembly, and into the Hood or Head Cover.
Available As · 3M Breathing Tube Assembly- Versaflo (HM5811)
SPECIF ICATI ONS
3M Breathing Tube Assembly (HM5703) · Replacement breathing tube for the 3M Versaflo 300 PAPR (HM5800) and 3M Ve rsa flo 600 PAPR (HM5600) · It features a flexible helix that adjusts to the appropriate length for the individual wearer · 3M Product#: BT-30
CONTENTS · One breathing tube
ADDITIONAL INFO
https://shop .dqeready.com/3m-breathing-tube-assembly-versaflo
1/2
.
6/18/2020
3M Versaflo 300 PAPR Kit - DQE
DQE.
3M Versaflo 300 PAPR Kit SKU: #HM5814
Experience the comfort and unique features of the Versaflo respi rator system, ideal for healthcare professionals.
PRICE: $998.00 Buy at: https://shop.dqeready.com/3m-versaflo-300-papr-kit/ or call 800-355-4628
DESCRIPTION
The 3M Versaflo 300 PAPR is a lightweight, compact and well-balanced belt-mounted unit for positive pressure respiratory protection against airborne particulates. The slim profile is designed for use in tight spaces, and the smooth contoured outer surface is less prone to snagging on nearby objects, making the Versaflo 300 ideal for healthcare settings. Capacity to work with a wide variety of headtops, filters and cartridges. Hood or headcover and battery charger sold separately.
Available As · 3M Versaflo 300 PAPR Kit (HM5814)
SPECIFICATIONS
3M Versaflo 300 PAPR Kit (HM5814) · Two types of alarms - one audible and on LED - alert the user to either a low batte ry or low airflow. · The air inlet draws air from the bottom of the unit, making it easier for the wearer to sit without blocking the airflow intake. · The small , single air inlet helps make decontamination easier and faster. · The breathing tube features a quick release swivel connection, which connects quickly to the headgear and is designed to minimize loops and kinks in the breathing tube. · EasyClean vinyl belt allows for thorough cleaning and reuse. · Battery Life: 8-12 hours (Charger sold separately) · 3M Blower Unit Model#: TR-302N+
https ://shop.dqeready.com/3m-versaflo-300-papr-kiU
1/4
6/18/2020
3M Versaflo 300 PAPR Kit - DOE
o 3M Airflow Indicator - Versaflo 300 (HM5806) o 3M HE Filter - Versaflo 300 (HM5805) o 3M Headcover for Versaflo PAPR (HM5808) o 3M High Capacity Battery-Versaflo 300 (HM5807) o 3M Hood with Double Shroud for Versaflo PAPR (HM5812) " 3M Hood with Single Shroud for Versaflo PAPR (HM5815) · 3M Battery Chargers - Versaflo 300 (HM5801IHM5804) o 3M Breathing Tube Assembly-Versaflo (HM5811) o 3M Easy Clean Belt - Versaflo 300 (HM5810)
PPE Return Policy: Due to the hazardous nature of using personal protective equipment, this product is not eligible for return.
https://shop.dqeready.com/3m-versaflo-300-papr-kit/
4/4
Angela McKinney
From: Sent:
To:
Subject: Attachments:
Hodge Steve <Steve.Hodge@Healthtrustpg .com> Tuesday, May 26, 2020 12:33 PM Angela McKinney {EXTERNAL} Re:compliance percentage Cuero HT Core Portfolio Compliance Q1 2020.pdf
WARNING: This email originated outside of Cuero Reglonal Health. DO NOT CLICK links or attachments unless you recognize the sender and know t he content is safe.
Angela,
Good afternoon. For the first quarter of 2020 Cuero's compliance was 86.9% on our core portfo[io of contracts, which is outstanding. Great job . The April 2020 Information is not available at this time, but I am sure all HealthTrust members are going to have a downturn in compliance due to COVID-19 related issues. That is understandable and the HealthTrust leadership is not going to penalize any member for compliance issues during the COVID-19 pandemic.
I am stil l goi ng o revi ew the Insigh t Reports and send you any LOC or " Right Item, Wrong Ch annel"
opportuni t ies. Has Cuero developed any post- OVID plans tog the hospita rolling again anti is there anything HealthTrust can do to assist the Cuero Team/
Steve Hodge, CMRP I Account Director HealthTrust I 1100 Dr. Martin l. Ki ng Jr. Boulevard, Suite 1100 I Nashville, TN37203
P: 615.344-3094 C: 615.476-46091 E: steve.hodge@healthtrustpq.com
From: Angela McKinney <ANGELAM@cuerohospital.org>
Sent: Tuesday, May 26, 2020 12:15 PM
To: Hodge Steve <Steve.Hodge@Healthtrustpg.com> Subject: {EXTERNAL} compliance percentage Alma is asking if you know what our purchasing compliance percentage is at this time?
~ A~"'1cK~
Materials Management Director
a ngelam@cuerohospltal.org
Telephone: (351)275-0524 Fax: (361)275-0178
1
,, l ~ . ' >
3IVI Science. Applied to Life.TM
Versaflff lR-300+
Newand Improved.
You asked - we delivered!
Our Versaflo TR-300+ PAPR system for particulate environments has been re-engineered - to bring you even greater versatility, comfort and ease of use. Compatible with all current TR-300 components and accessories.*
Meet the 3M'"VersafloTMTR-300+ Powered Air Purifying Respirator.
· Two airflow rate options · Upgraded altitude compensation up to 14,000 ft · Constant airflow - Even as the battery discharges,
or the filter becomes loaded with particulates, the unit delivers a steady flow of air
e User-f riendly interfnce - ~onitor th c opnra'.ing
suitus of yocir filter, bntrnr y, and airflow a+'' silance · Audio and visual alarms for filter load and low battery · Color-indicated, interactive touch points
Straightforward, Minimal Maintenance
Most maintenance can be done quickly and easily by hand - including changing the battery, filter and pre-filter. · Easy Clean Belt TR-327 and blower unit
have smooth surfaces, facilitating fast wipe-downs for easier cleaning. · IP53 rating. Suitable for use in decontamination showers. · A redesigned filter cover on the blower unit allows instant identification of the installed filter. · Brushless motor for up to 5,000 hours of run time.**
*With t he exception of th e TR-371 filter cove r ·· Estimated depending on use conditi ons
#3MScienceOfSafety
3Mn' Versaflo"' TR-300+ Series Complete System Kits
Build your own Versaflo system or choose from one of our complete system kits. These kits offer the convenience of a complete system tailored to your application-all in one box. Kit Options: Complete, ready-to-use High Efficiency PAPR systems, optimized for specific industry applications are available. All help to provide protection against particulates.
Includes: S-655 Hood Assembly, BT-30 Length Adjusting Breathing Tube, TR·302N+ PAPR Unit, TR-327 Easy Clean Belt, TR-332 High Capacity Battery, TR-341N Battery Charger Kit, TR-3712N HE Filter, TR-3600 Pre-Filter, TR-971 Airflow Indicator.
Includes: M-307N+ Respiratory Hard Hat Assembly, TR·302N+ PAPR Unit, TR-326 , High Durability Belt, TR·341N Battery ; Charger, TR·3712N Filter, TR-362 Spark Arrestor, TR-3600 Pre-Filter, TR-332 High Capacity Battery, BT-40 Heavy Duty Breathing Tube, TR-971 Airflow Indicator.
TR-300N+ ECK
TR·300N+ HIK
Includes: S·1335/L Headcover, BT-30 Length Adjusting Breathing Tube with BT-922 : Breathing Tube Cover, TR-991 Carrying Bag, 1 TR-302N+ PAPR Unit, TR-327 Easy Clean Belt, TR-332 High Capacity Battery, TR·341N Battery Charger Kit, TR-3712N HE Filter, TR-3600 Prefilter, TR-971 Airflow Indicator.
TR-300N+ HKS
TR-300N+ HKL
70071696762
70071696770
70071696788
70071696796
76308942687
76308942694
76308942700
76308942717
Multiple Configurations: The TR-300+ can be purchased as assemblies or, if you need customization, you can purchase all components, including headtops, separately.
3M~ Versaflo'" PAPRUnit TR-302N+
70071696713
76308942632
. . ~. ,_.,.__.
I
'!
!
3M'" Versaflo'" TR-300N+ PAPR ;Filter Cover TR-371+ ;
3M'" Replacement Blower TR-301N+ for 3M" Versaflo'"
TR-300N+
70071730439 51131277045
70071696705
~--
76308942625
3M TMVersaflo" . 3M'" Versaflo~
3M'" Versaflo'"
3M'" Versaflo'"
PAPR Assembly ; PAPR Assembly PAPR Assembly PAPR Assembly
TR·307N+ with Easy! TR·304N+ with
TR-305N+ with
TR-306N+ with
! ,Clean Belt and High Easy Clean Belt and Standard Belt and · High Durability
· Capacity Battery · Economy Battery Economy Battery
Belt and High
C-apa-ci-ty B-a-ttery
70071696721
70071696739
70071696747
70071696754
76308942649
76308942656
76308942663
76308942670
s 'For more information, visit 3M.com/versaflo AWARNING ·~I These respirators help reduce exposures to certain airborne particulates. Before use, lhe wearer must ~ read and understand the User Instructions provided ~s a p~rt oft~e. product p~ckaging . A :""'itten resi;iiralory protection program must be implemented meeting all the requiremi;nts of OSHA 1910 .1~4 mcl~d1_ng_tr~mmg, fit testm!l and n:ied1cal evaluat1o_n. _In_Can~da, CSA standards Z94.4 requirements must be met and/or re.quirements of the apphca~le iuns~1ct1?n, as appropriate. Misuse may ~esult m miury, illness or death. For correct use, consult supervisor and User Instruction, or call 3M PSD Technical Service in USA at 1-800-243-4630 and m Canada at 1-800-267-4414.
3NI
3M General Offices 3M Center, Building 235-2W-1000 St. Paul , MN 55144-1000 3M.com/ versaflo
3M PSD produc ts ar e fo r occu pational use only.
3M Canada Company PSD P.O. Box 5757 London, Ontario NGA 4T1 Canada
For More Information Technical Assistance in US 1-800-243-4630 Technical Assistance in Canada 1-800-267-4414 www.3M .com / workers afety
3M and Versaflo are trademarks of 3M Company, used under licens e in Canada. Please recycle. Printed in USA. © 2018 3M . All rights reserved . 70-0716-7260 -7
AGENDA ITEM #6
Capital Expenditure Request for High Flow
Nasal Cannula
Review and Take
Appropriate Action
Proposals Attached:
Fisher & Paykel
$ 11 ,994.90 Recommended
2020 06 25
Cuero Regional Hospital
CAPITAL EXPENDITURE REQUEST
HOSPITAL/ENTITY Cuero Regional Hospital
DEPARTMENT Cardiopulmonary 6170 Is the requested purchase in compliance with the Healthtrust GPO?
DATE PREPARED 06/17/2020
PROJECT NAME
Fisher & Paykel Airvo highflow heat moisture exchanger with DESIRED DELIVERY/START DATE
variable FI02 for treatment of Covid Patients.
D E PROJECT DESCRIPTION
s 2-Fisher & Paykel Airvo unit w/ pole stand, mounting tray, assessory basket, c Duel 0-70 & 0-30 LPM flowmeter manifold and 15' single coiled 02 hose.
PURPOSE FOR REQU EST
New Service
0
Replacement
D
R Consumable inventory chargeable to patients.
I JUSTIFICATION
lndiote present situatio n, need f or the item requested and alternative considerations.
Code Compliance
D
p Documented success in the treatment of Covid Patients T BUDGET REFERENCE I BUDGET LINE ITEM
pf Amount Budgete:
0 Not previously on budget.
N F EQUIPMENT/PROJECT COSTS I
Attach cop ies of proposa ls
Bid #1
Bid #2
Bid #3
ASSET DISPOSITION DATA Descri ption of DisposedAssets:
N
Fisher &
Name of Bidder
Paykel
A Land and/or Acqu isition
N Co nstruction
c Eq ui pm ent
I TOTAL COSTS
A
Less Trade In
$11,994.90
BOOKVALUE OF DISPOSED ASSET
I
METHOD OF Trade In
D
DISPOSITION
Sale
D
Abando nme nt
D
L NET CAPITAL REQUIRED
$11,994.90
RECOMMENDATION (Check one)
0
D
$7,176.50 2-Airvos w/ assessories
$4,818.40 Consumables chargeable
to pt. Total purchase $11,994.90
D
F&P is the only airvo manufacturerd devise that can
be run on oxygen outlet. (no air outlet required &
can be used in any room or unit of CRH)
A
u
T
D:z;;:J;;;z;~T~R/
- - H ~
0
, {
DATE : 6/17/2020
R SLT LEADER
~~~ I
z
A
' J
,
T CHIEF EXECUTIVEOFFICER or CHIEF FINANCIAL OFFICER
I 0
()/1-A . /J(},,L ~A-_
~/r1/~
N
\, I 1l DATE: I
-:J/J
I
v-
~1 ,~ DATE:
d.c 1
I
I
Fisher ~ Paykel
HEALTHCARE
HealthTrust Quote Worksheet
173 Technology Drive Suite 100 Irvine CA 92618 Toll Free 800-446-3908 Fax 949-453-4001
Quote RAC HPG , 2 0
CRM # (required) Hospital Name Address City , State, Zip GPO/Tier Quote Date
136739; SAP 107017 Cuero Regional Hospita l 2550 N. Esplanade Cuero , TX 77954 Healthtrust Tier 3 13-Apr-2020
Contact Name Contact Title Contact Phone Contact Fax Contact Email F&P Rep Name F&P Rep Phone F&P Rep Email
Brenda Marti n RT Director 361 -275-0539 < > bmartin@cuerohospital.org Amber Haikenwaelder 21 0-850-5412 amber.haikenwaelder@fphcare.com
TY
2 2 2 2 2 2
ITEM
PT101US 900PT421 900PT405 900PT426 R220P89-001 R127P35
DESCRIPTIQN
Airvo (contains 900PT600, 900PT422, 900PT913) Hospital Pole Stand Airvo Pole Mounting Tray AIRVO Accessories Basket Dual 0-70 & 0-30 LPM Acrylic Flowmeter Manifold 15' Single Coiled 02 Hose DISS-DISS
TY/UOM
1/EA 1/EA 1/EA 1/EA 1/EA 1/EA
UNIT PRICE
$ 2,400.00
$
435.00
$
185.00
$
68.25
$
425.00
$
75.00
TOTAL
..Terms are based on HealthTrust GPO affiliation..
IMPORTANT INSTRUCTIONS ON PRICING AND ORDERING
1. ALL PRICING JS QUOTED AT NET COST.
2. PLEASE ORDER DISPOSABLES FROM YOUR AUTHORIZED DISTRIBUTOR or DIRECTLY FROM FISHER & PA YKEL.
3. PLEASE ORDER HARDWARE DIRECTLY FROM FISHER & PAYKEL. 4. ALL PRICING JS VALID 90 DAYS FROM THE DATE QUOTED AND SUBJECT TO GPO TIER QUALIFICATION. 5. PAYMENT TERMS - 1% 10, NET 45 6. FREIGHT TERMS - FOB ORIGIN 7. SHIPPING TERMS - PREPAY & ADD 8. WARRANTY TERMS - 1 YEAR FOR CAPITAL
EXT PRICE
$
4,800.00
$
870 .00
$
370.00
$
136.50
$
850 .00
$
150.00
$
7,176.50
Email : Orders.USA@fphcare.com
Page 1 of 1
fisher 3' Paykel
H E ALTHCARE
HealthTrust Quote Worksheet
173 Technology Drive Suite 100 Irvine CA 92618 Toll Free 800-446-3908 Fax 949-453-4001
Quote RAC HPG v 2 0
CRM # (required) Hospital Name Address City, State, Zip GPO/Tier Quote Date
136739; SAP 107017 Cuero Reg iona l Hospital 2550 N. Esplanade Cuero , TX 77954 Healthtrust Tier 3 13-Apr-2020
Contact Name Contact Title Contact Phone Contact Fax Contact Email F&P Rep Name F&P Rep Phone F&P Rep Email
Brenda Martin RT Director 36 1-275-05 39 < ... > bmartin@cuerohos12ital .org Amber Haikenwaelder 210-850-541 2 amber.haikenwaelder@f12hcare.com
TY
1 1 1 1
Im!
900PT561 OPT942 OPT944 OPT946 OPT970 OPT980 OJR416 OJR418
AIRVO A/S TUBE CHMB KIT 10PK Optiflow+ Adult Cannula, small (universal) Optiflow+ Adult Cannula, medium (universal) Optiflow+Adult Cannula, large (universal) Optiflow+ Adult Trach direct Connection Optiflow+ mask inter1ace adaptor for AIRVO/F&P Optiflow Junior 2 Nasal Cannula - L Optiflow Junior 2 Nasal Cannula - XL
10/BX 20/CS 20/CS 20/CS 20/CS 20/BX 20/BX 20/BX
NIT PRICE
$
625.00
$
435 .00
$
460 .40
$
460 .40
$
460 .40
$
393.20
$
992.00
$
992 .00
TOTAL
** Terms are based on HealthTrust GPO affiliation··
IMPORTANT INSTRUCTIONS ON PRICING AND ORDERING
1. ALL PRICING IS QUOTED AT NET COST. 2. PLEASE ORDER DISPOSABLES FROM YOUR AUTHORIZED DISTRIBUTOR or DIRECTLY FROM FISHER & PA YKEL . 3. PLEASE ORDER HARDWARE DIRECTLY FROM FISHER & PA YKEL. 4. ALL PRICING IS VALID 90 DAYS FROM THE DATE QUOTED AND SUBJECT TO GPO TIER QUALIFICATION. 5. PAYMENT TERMS - 1% 10, NET 45 6. FREIGHT TERMS - FOB ORIGIN 7. SHIPPING TERMS - PREPAY & ADD 8. WARRANTY TERMS - 1 YEAR FOR CAPITAL
EXT PRICE
$
625.00
$
435.00
$
460.40
$
460 .40
$
460 .40
$
393.20
$
992.00
$
992.00
$
4,818.40
Email : Orders.USA@fphcare.com
Page 1 of 1
AGENDA ITEM #7
Capital Expenditure Request for Telemetry System - Review and Take Appropriate Action
Proposals Attached:
Spacelabs Philips Mindray
$169,651.83 Recommended $327,355.70 $302,880.78
2020 06 25
Cuero Regional Hospital
CAPITAL EXPENDITURE REQUEST
Cuero Regional Hospital
ICU/Med Surg/ER
6/17/2020
Is the requested purchase in compliance with the Healthtrust GPO?
YES
D NEW TELEMETRY SYSTEM E PROJECT DESCRIPTION
s New patient telemetry monitoring and surveillance system c
R
I JUSTIFICATION:
06/2020
PURPOSE FOR REQUEST
New Service
D
Replacement
0
Code Compliance
D
Current system in ICU and ER has surpassed useful life expectancy. Stand alone system in ER has been without a service
p agreement for a number of years. Began experiencing both equipment malfuntions and surveillance anomalies January, 2020.
T BUDGET REFERENCE
Amount Budgeted
I BUDGET LINE ITEM IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME ?
0 Equipment for ICU/Med Surg was not budgeted. System processor failed and cannot be repaired.
N Replacement of stand alone system in ER was budgeted for 2021 Capital Expenditures at $50,000.
F EQUIPMENT/PROJECT COSTS
Attach copies of proposals
ASSET DISPOSITION DATA
I
Bid #1
Bid #2
Bid #3
Description of Disposed Assets:
N
Name of Bidder
A Equipment/Project Costs
N ER
c ICU
I TOTAL COSTS
A
Less Trade In
L NET CAPITAL REQUIRED
RECOMMENDATION (Check one)
Spacelabs Philips
Mindray
Reimbursement amount for trade-in equipment to be
$80,326.04 $89,325.79 $169,651.83
$94,189.54 $233,166.16 $300,830.94
determined upon inspection by Spacelabs Healthcare.
$38,754.66 BOOK VALUE OF DISPOSED ASSET
I
$264,126.12
METHOD OF
Trade In
0
$302,880.78
DISPOSITIO N
Sale
D
Abandonment
D
$169,651.83 $327,355.70 $302,880.78
0
D
D
A
u DEPARTMENT HEAD
?V h /(__) T,~fer Jal.e~AMk
H ';('(\ J
Ill
0
-; ~~
' '\J RI SLT LE ER
u ~ "' '' ./ ~
f2 I
z
rrs~ f
,,,/F#-A
'"KAlJ,h // f.~ 0
C~XECUTIVE A
T
OFFICER or CHIEF FINANCIAL OFFIC:R
DATE : 6/17/2020
DATE: h /;cf/;;._ od- O I I
I
0
DATE :
N
=
=
=
DATE :
Board Member Signatu re if greater than $5,000
SPACELABS
HEAL T HCARE
Proposal Summary
Cuero Community Hospital 2550 N Esplanade Cuero, TX 77954
Account Number: 90163300 Quote Number: 2020-193151 Rev. 4 Submitted Date: May 27, 2020 Expiration Date: July 26, 2020
D~eait~ent XTR Telemetry 16 Telemetry Transmitters Extender hardware
List Price $167 ,177 .58
$41 ,152.00 $1 ,899.58
Total List Price... ................ ...... .. .. .. .......... ... .......... .... ... ... .. ... . Total Discount.. ... ...... .... ... .... .. .. .. ....... ......... .. .......... ...... ...... ... Total Proposal Price...........................................................
Net Price
····-····· ·········--····--·-···-
$72,442 .75 $14,983.46
$1 ,899.58
$210,229 .16 $120,903 .37
$89 ,325 .79
2020-193151 Rev. 4 I Joel Aguilar
Page 1
Quote Date: May 27, 2020
SPACELABS
HEALTHCARE
Upon acceptance, please sign and return this quotation, together with your purchase order, to Sales Support via fax at **425-363-5761** or email it to po.us@spacelabs.com.
By accepting this quotation or by performing hereunder, the customer identified above ("Customer'') agrees to purchase or lease (as applicable) the products identified herein subject to the terms of this Customer Quotation and Spacelabs Healthcare's Subscription Software Terms (in the case of SafeNSound) or Spacelabs Terms of Sale (in the case of all other products) . If Customer will resell the products, such resale is governed by the Spacelabs Resale Terms. These documents can be found on the About UsfTerms/Policies page of our website at http://www.spacelabshealthcare.com . The applicable terms are incorporated herein by this reference . Notwithstanding the foregoing , if Customer has a separate contractual agreement in place with Spacelabs Healthcare relating to the products identified herein (such as a group purchasing agreement, distribution agreement, or master purchasing agreement), the terms of that contractual agreement shall control to the extent such terms conflict with the applicable terms.
Accepted by:
Authorized Signature
Customer Purchase Order Number
Title Telephone Number
Date
Email Address for order confirmation Tax Exemption Number (if Exempt)
Requested Delivery Date
This quotation shall remain firm for 60 days unless otherwise stated. Delivery: 21 days after acknowledgement of order. unless otherwise noted in this quotation .
2020-193151 Rev. 4 /Joel Aguilar
Page 2
Quote Date: May 27, 2020
SPACELABS
HEALTHCARE
The pricing in this quotation reflects your HealthTrust Purchasing Group pricing per contract HPG-4740. Payment terms are net amount due 30 days after date of invoice. FOB is factory. Freight and insurance are no charge . Warranty is per the terms of your contract.
Depot Support
After the standard 12-month warranty has expired, Company agrees to provide all Spare Parts and labor necessary for the repair of any Equipment failure which may require corrective action upon Customer's return of Equipment to Company's facility ("Depot Support"). Such Depot Support shall be provided as follows:
Customer agrees to promptly notify Company by phone of any Equipment failure, which may require corrective action . If Equipment issues cannot be resolved telephonically through good faith efforts of the parties, Company shall provide at Company's facility all Spare Parts and labor necessary for the repair of any Equipment failure that may require corrective action. Customer shall be responsible for all freight and insurance charges in shipping the Equipment to Company; risk of loss shall pass to Company only upon receipt of the Equipment. Company shall pay all costs for return shipment to Customer.
Company shall, within the limits of equipment availability, use reasonable efforts to satisfy Customer's requests for loan equipment, prior to requests from customers not covered by a warranty or similar agreement.
"Spare Part(s)" mean replaceable spare parts and assemblies used in the Equipment and listed in the Company Spare Part Price List. Spare Parts do not include disposable or user parts that must be routinely replaced , items listed in the Supplies & Accessories Price List, or computer products and peripheral devices not manufactured by Company or produced on Company's behalf. Any original Spare Part for which Company has supplied a replacement Spare Part shall become the property of Company. Any replacement Spare Part shall have equivalent function and performance as the original Spare Part, when new. Company reserves the right to use a refurbished part as a replacement Spare Part.
An antenna system is not included with the quoted Telemetry System. A Pre-Installation Questionnaire (PIQ) will need to be completed to determine the antenna requirements for the hospital's particular installation. Associated costs will vary dependent upon the size and complexity of the installation.
2020-193151 Rev. 4 I Joel Aguilar
Page 3
Quote Date: May 27, 2020
SPACELABS
HEALTHCARE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
XTR Telemetry
Line Description
Item Number Qty
Unit List Price
Unit Net Price
Ext. Net Price
1 X~i~it Telem13try _R13ceiver
96280
1
0.00
0.00
0.00
2 X~i~!!J:l3113fl113!ry f313c:13iyer,__ E3c;is13 3 Q Band Receiver, 608-614 MHz
96280-A
1
96280-Q
1
0.00
0.00
0.00
0.00
0.00
0.00
4 Xhibit Telemetry Receiver Housing , 16 Patient 96280-16 Bundle
81 ,300.00 41 ,869.50 41 ,869.50
5 Quad Receiver, Q Band , 96280 6 Xhibit Central Station
96280--Q 96102
··········· .0........0....0......................................0........00
0.00
0.00
7 ... --~-~i~_it C:E:l'!!~Cll ~tc.i!i()'!_· _ ~Cl~l3 <:;<:>rl1P(Jt13~ . 8 Xhibit central station , 16 bed bundle
961.-...0·-· 2-8 96102-16
0.00
1
49,587.00 25,537.31
'''''''''''''' ''''' ''''''''''''''''''
9 §in~l13pciti13n_t l i<:l3r:i~e for Xhi~it central station 910-6102-01
16
0.00 .......... ..........................................-....
0.00
10 J=>~i n!l3E· ~ci~13rj13t! ljf:I. Nl?9E?r-.J. ~ ~qy
·0·---1--····0·....-..1.....9.....7....1.....-...0.....1.._......
1
1,600 .25
................ .............................. ····-··
824.13
11 USS Cable A-Male to B-Male 2.0, 6ft
010-1863-00 1 29.37 ............... ···················································· ····-· .....................................-......
15.13
12 Interactive elearning Bundle. Bundled 1 year 999-0503-27
1
3,000 .00
0.00
elearning for monitoring devices, surveillance
and Clinical Acces~(fOS subscripti()'!L
0.00 25 ,537 .31
0.00 824 .13
15.13 0.00
13 elearning Upgrade to Include SCORM Files. 999-0503-30
1
Upgrade to 5 years elearning of all monitoring
products, licensed for use in customer learning
management system (LMS), subject to separate
letter agreement between customer and
Spc;i<:l31CI~~ ( TQ§ <:>'!IY): ___
950 .00
950.00
950 .00
14 Depot Support Plan . Unit price is per year.
999-9999-42
4
Monj!()ring pr()~uct~ _on_ly :
_ ......... _ _
15 _Ope'.CI!!()_'! fv'lar:i~aJ,_gD , ~~Jbitf!13l~rll_~ry
c::;p. 16 S13ryic:13fylan(Jc;il.
X~ibitfIE:)lemetry
_____ _2~-~~Q_~Q§_ __ 1
q~-1479-06
17 Additional Week of Clinical Education Project 999-0222-52
Management. Includes 3 consecutive days of
onsite support. Up to 7 hours of class time per
day, between the hours of 8 AM . and 8 P.M.
5,889.92
0.00
0.00
0.00
··--·-----·-"~--~---
0.......0.....0................-..
0.00
4,850.00 4,850.00
0.00
0.00 ,_....0.. .00 4 ,850 .00
Required for units with >50 users to train and/or
___ ,,. >11 beds .
--
-~.
18 Enhanced Software Support Plan
999-1898-11
1
(ICS/XprezzNet/Xhibit), expires on same date as
-
0.00
0.00
0.00
existing contract.
**Reference
522587
exp- iring
0-5-31--
21
~-
-
19 Hardware trade-in credit for 8+ year old UVSL 999-0508-03
1
27/28/3800, UCW/UV 1700 towards the
_P(JrC:_~CISl3 of XPRE~_QN~HIB~! _____ --------------- ------- ------- .
20 Waveform trade-in credit for 8+ year old UVSL 999-0509-03 16
3800/UCW/UV1700 toward the purchase of
XHIBIT
-
'
-2,100.00 -2,100.00 -2,100.00
-300 .00
-300.00 -4,800.00
2020-193151 Rev. 4 I Joel Agu ilar
Page 4
Quote Date: May 27, 2020
SPACELABS
HEALTHCARE
21 Trade i~ ~i~~ount, monitorinQ ite~s
7000-0001-999
22 .Xhibit ~i~p_lciy . 22" hig~ rE:S()lution to~c~screen 011-0241-01
2
23 .......
.....P. o-- wer
Cord ,
North
America ,
3
ft ,
12-0V,
10A
161-0246-00
1
24 Installation
999-9999-97
1
.. XTR Telemetry T<?t_~I ......... ·- ..
35301 SE Center St Snoqualmie, WA 98065 www .spacelabshealthcare.com
-475 .00
3,182.0-0 ........ ............ ....... 40.10
3,272.18
-475 .00 $1 ,638.73
$40 . 10 $2,454 .14
-475 .00
3,277.46
40.10
·-·
2,454 .13 $72,442.75
2020-193151 Rev. 4 I Joel Aguilar
Page 5
Quote Date: May 27, 2020
SPACELABS
HEALT H CARE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
Line Description
16 Telemetry Transmitters Item Number Qty
1 Ari§!Tel~Telemetry Transmitter
96281
16
2 ECG Transmitter
96281-A
16
3 Q Band (608-614 MHz)
96281-05
16
...~....... Wideb§!~9 .(?0.~I::!~ bandwidth)
96281-W
16
5 5-lead, AHA/AAMI color code
96281-J
··-··-······ ...
16
6 ECG combiner adapter, Aria Telemetry, 96281 , 700-0008-88 16
AAMI
7 ECG combiner lead wire set, 5L, multi-pinch , 700-0006-37 16
AAMI , 74cm/29 in
8 CD-ROM, ~(inual , qps, 96281 , ariaTele
..........0... 8-·4-·--·-.. 220-1-01
1
9 AriaTele Service Manual, CD-ROM
···············- ...
.... ····-·
084-2202-01
1
10 Depot Support Plan . Unit price is per year.
999-9999-42
4
Monitoring Products only.
11 Tele-Trade-Up Promotion for trade-in of
999-0433-00
1
Spacelabs ECG transmitters. Credit applies to
the purchase of any AriaTele transmitter. Pricing
valid forpurchases made no later than 6125120 . .
.. ~~- !~l~'!l~~ry l'r_ani:>mitte~ _"T"e>~al___ . ...
Unit List Price
Unit Net Price
0.00
0.00
2,400.00 1,236.00
0.00 - - 0.00 ..........
·····-····-··
0.00
0.00
0.00
0.00
53.33
38.93
Ext. Net Price 0.00
19,776.00 0.00 0.00 0.00
622 .89
86 .67
61 .54
984 .57
0.00
0.00
0.00
0.00
0.00
0.00
1,728.00
0.00
0.00
-6,400.00 -6,400.00 -6,400.00
........ . . .. . ......... J14,98_~.46
2020-193151 Rev. 4 I Joel Aguilar
Page 6
Quote Date: May 27, 2020
·
SPACE LABS
HEA L THCARE
Line Description
·-··-··
1 Spl.itt~rdi~play port 4WAY 9)102 2 HDMI over IP extender
Extender hardware Total
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare .com
Extender hardware Item Number Qty
010-1975-00
1
ST12MHDLAN 1
Unit List Price
949 .58
950 .00
Unit Net Price
949.58
950 .00
Ext. Net Price
949.58 950 .00 $1,899.58
2020-193151 Rev. 4 I Joel Aguilar
Page 7
Quote Date: May 27, 2020
SPACE LABS
HEALTHCARE
Cuero Community Hospital 2550 N Esplanade Cuero, TX 77954
Account Number: 90163300 Quote Number: 2020-200722 Rev. 2 Expiration Date: August 04, 2020
Proposal Summa
Department Cuero ED Equipment Replace
Total List Price...... ........ ... ... . . Total Discount. ............... .
List Price $153 ,524 .34
Net Price $80,326 .04
$153,524.34 $73 ,198.30 $80 ,326 .04
Upon acceptance, please sign an at **425-363-5761 ** or email it to
By accepting this quotation or b
ereunder, the customer identified above ("Customer") agrees to purchase or
lease (as applicable) the products i · ·ed erein subject to the terms of this Customer Quotation and Spacelabs
Healthcare's Subscription
are Ter (in the case of SafeNSound) or Spacelabs Terms of Sale (in the case of all other
products). If Customer will res
ucts, such resale is governed by the Spacelabs Resale Terms. These documents can
be found on the About
s page of our website at http://www.spacelabshealthcare.com. The applicable terms
are incorporated herei
119~1irence . Notwithstanding the foregoing , if Customer has a separate contractual agreement in
place with Spacelabs
lating to the products identified herein (such as a group purchasing agreement, distribution
agreement, or master pur
agreement), the terms of that contractual agreement shall control to the extent such terms
conflict with the applicable ter ·
2020-200722 Rev. 2 I Joel Aguilar
Page 1
Quote Date: June 05, 2020
Philips Healthcare, a division of Philips Electronics North America Corporation
PHILIPS
Cuero Community Hospital
2550 N Esplanade St CUERO, TX 77954-4736 Customer Number: 94027199
Attention : E-mail:
Account Manager Eric Rawlins 222 Jacobs Street Cambridge, MA
Fax: E-mail: eric.rawlins@philips .com
Budgetary Quote Number: CQLM_001561 Version: 1 Date: 3 -9 -2020
ICU Med Surg Standalone
A PRODUCT OFFERING ......... ................. ... .. ... ... ... ....... .... ......... ... .. .. ... .. ... ...... ......... ..... ..... ... ......... .... ... .................... 2 B SPECIAL COMMENTS.... ... ........ .... ..... .... .. .. ... .......... .. ..... ...... ............... ..... ...... .. .... ... .. ... .. .. .. ... .. ...... .. ....... .. .... .... ..... . 7 C DISCLAIMER .. .... .... .. .. .. ...... .. ...... .... .. ............... .. .... ... ... ..... .. ..... ........ ..... .... ...... .... .. ... ........... .... ... .... .. .... .... ................ 7
CQLM_001561 03/3012020
Note: Please do not use these prices as the basis to generate a purchase order.
..
A PRODUCT OFFERING A.1 Products
Qty
1 866389 1 RVC 1 NEW 18 1XC 18 LOB
12 ovc
18 PRC 18 V1C
Picture rep resent product f am ily and may not be ttn! exact configur ation quoted
Descri ption
PATIENT INFORMATION CENTER IX RVC PIC IX SOFTWARE RELEASE C NEW NEW INSTALL 1XC PIC IX BASE LOB LOCAL DATABASE OVC OVERVIEW REV C PRC PRO REVC V1 C VISIBILITY REV C
Subtotal:
Unit List Price Discount %
Extended Price
$0.00 $0 .00 $2 ,300 .00 $0 .00 $1 ,420.00 $875 .00 $555 .00
0% 0% 31% 0% 31% 31% 31%
$0 .00 $0.00 $28 ,566.00 $0 .00 $11 ,757.60 $10,867.50 $6 ,893 .10
--------------
$58,084.20
Qty
2 866424 2 RVC 2 NEW 2 HS1
Description
PIC IX HARDWARE RVC PIC IXC NEW HARDWARE OR OS HS1 PC HARDWARE WITH SSD
Subtotal:
Unit List Price Discount %
Extended Price
$0 .00 $0 .00 $4 ,040 .00
0% 0% 31%
$0 .00 $0 .00 $5 ,575 .20
-------------$5,575.20
Qty
3 866424 3 RVC 3 NEW 3 W2C
Description
PIC IX HARDWARE RVC PIC IXC NEW HARDWARE OR OS W2C SQL SVR STD 2-CORE ADD
Unit List Price Discount%
$0 .00 $0 .00 $2 ,780 .00
0% 0% 31%
CQLM_001561 .
03/3012020
Note: Please do not use these prices as the basis to generate a purchase order.
Extended Price
$0 .00 $0 .00 $5 ,754 .60
2
Subtotal:
$5,754.60
Picture represents product family and not exact configuration quoted
Qty
4 866066_NAM
4 SL1
Description
INTELLIVUE MX550 US lntelliVue MX550 monitor
SL1 MX550 STANDARD MONITOR
Subtotal:
Unit List Price Discount %
Extended Price
$16,725.00 31%
$46,161 .00
Qty
4 867030
4 A03 4 H72 4 B06 4 SP1 4 SC2 4 E31
Description
INTELLIVUE X3 The lntelliVue X3 is a compact, battery operated patient monitor and multimeasurement module. It is designed for use with lntelliVue host monitors (companion mode) , stationary monitoring , and monitoring during in-hospital patient transfer.
A03 3-WAVES CAPABILITY
H72 CRITICAL CARE TRANSPORT SW
B06 DUAL PRESS AND TEMP
SP1 FAST SP02
SC2 SYSTEM CABLE - 2.0 M
E31 CARRYING HANDLE
Subtotal:
Unit List Price Discount%
Extended Price
$0 .00 $1,600 .00 $1 ,130.00 $8 ,410 .00
$0 .00 $185 .00
0% 31% 31% 31%
0% 31%
$0.00 $4,416 .00
$3 ,118.80 $23,211 .60
$0.00 $510 .60
---------------
$31,257.00
Qty
Description
Unit List Price Discount %
CQLM_001561 .
03/30/ 2020
Note: Please do not use these prices as the basis to generate a purchase order.
Extended Price
3
2 867030
2 A03 2 H72 2 B06 2 SP1 2 SC2 2 E31 2 ESO
INTELLIVUE X3 The lntelliVue X3 is a compact, battery operated patient monitor and multimeasurement module. It is designed for use with lntelliVue host monitors (companion mode), stationary monitoring , and monitoring during in-hospital patient transfer.
A03 3-WAVES CAPABILITY
H72 CRITICAL CARE TRANSPORT SW
B06DUALPRESSANDTEMP
SP1 FAST SP02
SC2 SYSTEM CABLE - 2.0 M
E31 CARRYING HANDLE
ESO INTELLIVUE DOCK
Subtotal:
$0 .00 $1 ,600.00 $1 ,130.00 $8 ,410 .00
$0.00 $185 .00 $720.00
0% 31% 31% 31%
0% 31% 31%
$0.00 $2,208 .00 $1 ,559.40 $11 ,605.80
$0 .00 $255 .30 $993 .60
---------------$16,622.10
Qty
2 867041
2 B06
Description
INTELLIVUE MICROSTREAM EXTENSION Microstream C02 Extension works together with the lntelliVue Multi-Measurement Module (M3001A/AL) , lntellNue X2 MultiMeasurement Module (M3002A), lntelliVue MP2 Patient Monitor (M8102A) , lntelliVue X3 (867030) , and lntelliVue MX100 (867033) . The base product provides C02 waveform , inspired minimum (imC02) , endtidal C02 (etC02) and Airway Respiration Rate (awRR) of intubated and non-intubated adult, pediatric and neonatal patients varies care areas inside the hospital. Additional optional measurements include: Right Heart Cardiac Output (C.O .), continuous C.O. PiCCO, dual Invasive Pressure, and continuous Temperature .
806 ADD DUAL IBP, TEMP
Un it list Pri ce Discount %
$7,330.00 31%
$1 ,390.00 31%
Subtotal:
Qty
6 M1668A 6 M1968A 6 989803199741 6 M1599B
Description
CBL 5 LEAD ECG TRUNK, AAMl/IEC 2.7M
CBL 5 LEADSET, GRABBER, AAMI, ICU
DUAL IBP ADAPTER
ADULT PRESSURE INTERCONNECT CABLE 3.0M
Unit List Pri ce Discount %
$145.23 31% $116 .39 31% $157 .59 31%
$71 .07 31%
CQLM_001561 .
03/30/ 2020
Note: Please do not use these prices as the basis to generate a purchase order.
Extended Price
$10 ,115.40
$1 ,918.20
--------------$12,033.60 Extended Price $601 .25 $481 .85 $652.42 $294 .23 4
6 M1191BL
REUSABLEADULTSP02SENSOR
Subtotal:
$284.28 31%
$1 ,176.92 $3,206.68
Qty
12 865350
12 S02 12 C01
?.icture represents ptod:>et fa.mity ond may ·not -oe the exact configuratbn cruotM
Description
MX40 1.4 GHZ SMART HOPPING The lntelliVue MX40 is a lightweight, wearable patient monitor designed for ambulatory patients. Featuring continuous ECG and FAST Sp02 pulse oximetry, it has an easy-touse color touchscreen user interface harmonized with the Philips lntelliVue patient monitors, ensuring that clinicians quickly feel at ease using the MX40. Automatic screen locking prevents accidental contact, and SmartKeys provide fast access to monitoring tasks. Waveforms and numerics are colorcoded . The MX40 supports up to 4 different clinical screens with up to 4 parameters and 2 real-time waveforms.Measurement.
S02 ECG+ FAST SP02 ENABLED
C01 ENHANCED ARRHYTHMIA
Subtotal:
Qty
12 989803171851
Description
CBL ECG 5LEAD GRABBER, AAMI + SP02, TELE
Subtotal:
Unit List Price Discount%
Extended Price
$6 ,050 .00 $395 .00
31% 31%
$50 ,094 .00 $3 ,270 .60
--------------$53,364.60
Unit List Price Discount %
$169 .95 31%
Extended Price
$1,407.19
-------------$1,407.19
Total Product(s)
CQLM_001561 .
03/30/ 2020
Note: Please do not use these prices as the basis to generate a purchase order.
----------$233,466.16 5
A.2 Implementation Solutions
Qty Part Number
Description
1 890500
1 A04
Qty Part Number
INSTALLATION SITE SERVICES (CMS) FACILITIES IMPL SOLUTIONS
Description
2 989805700057 UPS EQUIPMENT ROOM, VAS (I)
Qty Part Number
Description
1 MXU0084
1 A50 1 A57
Qty Part Number
INTELLIVUE CLINICAL NETWORK A50 DIRECT CONNECT SERVICES WEB OR MOBILITY OPTION
Description
2 MXU0295
Qty Part Number
DISPLAY FLT PNL NON-TOUCH PllC IX 23" HP
Description
2 MXU0335
Qty Part Number
M-SERIES WALL CHAN MNT 8" PVT MP2/X2/X3
Description
4 MXU0345
Qty Part Number
M-SERIES PIVOT ARM KIT 12", 6" DP (I)
Description
8 MXU0472
Qty Part Number
CAT5/5E/6 CABLE TERMINATE &TIA/EAi TEST
Description
30000 MXU0524
Qty Part Number
INTELLIVUE NETWORK SMART HOPPING WIRED
Description
6 MXU0523
Qty Part Number
INTELLIVUE NETWORK - HARDWIRED (PER BED)
Description
30000 MXU0481
Qty Part Number
SH COVERAGE 10,001TO50,000 SQ FT
Description
30 MXU0575 30 A02
PROJECT MANAGEMENT SERVICES A02 ADVANCED
Total value added implementation solutions
A.3 Clinical configurations and implementation services
Qty Part Number
1 890539 1 A06 1 890539 1 A12
Description
CLINICAL CONFIG. & IMPL. SERVICES (CMS) 1 OVERTIME SHIFT CLINICAL CONFIG. & IMPL. SERVICES (CMS) INTELLIVUE SCREEN CREATION
Total Clinical Education
Unit List Price
$0 .00 $6 ,358 .82
Unit List Price
$268 .00
Unit List Price
$0 .00 $9 ,280 .00 $2,500 .00
Unit List Price
$521 .00
Unit List Price
$324 .00
Unit List Price
$324 .00
Unit List Price
$155 .00
Unit List Price
$1 .29
Unit List Price
$685 .00
Unit List Price
$2 . 11
Unit List Price
$0 .00 $285 .00
Extended Price
$0 .00 $6 ,358 .82
Extended Price
$536 .00
Extended Price
$0 .00 $9 ,280 .00 $2 ,500.00
Extended Price
$1,042.00
Extended Price
$648 .00
Extended Price
$1 ,296.00
Extended Price
$1 ,240.00
Extended Price
$38 ,700.00
Extended Price
$4,110.00
Extended Price
$63 ,300 .00
Extended Price
$0 .00 $8 ,550 .00
-------------$137 ,560.82
Unit List Price
$0.00 $2,650 .00
$0 .00 $2 ,287.00
Extended Price
$0.00 $2 ,650.00
$0 .00 $2 ,287.00
---------------$4,937.00
Total Discount (eligible items only)
Total including applicable discount
CQLM_001561 .
03/3012020
Note: Please do not use these prices as the basis to generate a purchase order.
$480,854.58 - $104,890.60
-----------
$375,963.98
6
B SPECIAL COMMENTS
Please be aware that this quotation is one part of a series of quotations, which constitutes a larger overall project and purchase. To understand and analyze this proposal in its entirety, other quotations must be considered.
C DISCLAIMER
The information set forth herein is for budgetary purposes only. This document does not constitute an offer to sell on the part of Philips Healthcare. Philips Healthcare makes n0 representations or guarantees of any kind with respect to price, availability, delivery, or other information contained herein , and all such information is subject to change without notice. Philips Healthcare will be happy to provide a formal quotation on request.
Not binding until accepted in writing by Philips in Andover or invoiced by Philips. Any purchase order or resulting agreement shall be subject to the Philips Terms and Conditions and the following terms which customer accepts.
For certain agreements, Phil ips may conduct a qualification inspection to verify that customer is suitably tra ined , the equipment is in serviceable cond ition , and all like equipment is covered by a valid Philips warranty or service agreement. Any resulting agreement is subject to cancellation by Philips if customer fails to satisfy these cond itions during the term .
Note: Please do not use these prices as the basis to generate a purchase order.
CQLM_001561 .
7
03/30/ 2020
Note: Please do not use these prices as the basis to generate a purchase order.
SPACE LABS
HEALTHCARE
Accepted by:
Authorized Signature Title Telephone Number
Date
Requested Delivery Date
This quotation shall remain firm for 60 days unless otherwise stated .
ledgement of order, unless otherwise noted in this quotation.
2020-200722 Rev. 2 I Joel Aguilar
Page 2
Quote Date: June 05, 2020
SPACE LABS
H E AL T HCARE
The pricing in this quotation reflects your HealthTrust Purchasing Group pri g per contract HPG-4740. Payment terms are net
amount due 30 days after date of invoice. FOB is factory. Freight and insura are no charge. Warranty is per the terms of your contract.
Depot Support
After the standard 12-month warranty has expired, Company agr s to JilllMll Spare Parts and labor necessary for the
repair of any Equipment failure which may require corrective action
Customer's return of Equipment to Company's facility
("Depot Support") . Such Depot Support shall be provided as follows :
Customer agrees to promptly notify Company by phone of an
failure, which may require corrective action. If
Equipment issues cannot be resolved telephonically thro go ith efforts of the parties, Company shall provide at
Company's facility all Spare Parts and labor necessary e rep of any Equipment failure that may require corrective
action. Customer shall be responsible for all freight a
e c arges in shipping the Equipment to Company; risk of loss
shall pass to Company only upon receipt of the Equ·
ny shall pay all costs for return shipment to Customer.
Company shall, within the limits of equipment av bili use asonable efforts to satisfy Customer's requests for loan
equipment, prior to requests from customers no
d b warranty or similar agreement.
"Spare Part(s)" mean replaceable spare pa
e ies used in the Equipment and listed in the Company Spare Part
Price List. Spare Parts do not include disp
u r parts that must be routinely replaced , items listed in the Supplies &
Accessories Price List, or computer produ and per. eral devices not manufactured by Company or produced on
Company's behalf. Any original Spare Part fOliM!ilJ~ ompany has supplied a replacement Spare Part shall become the
property of Company. Any replacem
Part shall have equivalent function and performance as the original Spare Part,
when new. Company reserves the ·
refurbished part as a replacement Spare Part.
The Spacelabs Ultraview SL ne
r clin ical network sizes up to 1000 nodes. Networks consisting of mixed
generations of Spacelabs devices
a ower capacities depending on specific models and age of equipment. Alarm
Watch and Remote View fu ctionality ctly affect maximum network size. Please consult your field service engineer to
determine the maximum siz
functi ality for your specific Spacelabs network.
Spacelabs Healthcare'c:..-ro::ni· or regulations require purchase order) . Plenu cables quoted herein are n
n 1s ased upon the use of standard PVC jacketed interconnecting cables. If local conditions -rated cabling , 1OBaseT is available at no additional charge (please specify on your ase5 (AUi and MAU) cabling requires an additional charge of $1 .00 per foot. Any SDLC
um rated and may need to be run in hospital conduit to comply with local regulations.
An estimated antenna system is included with the quoted Telemetry System . A Pre-Installation Questionnaire (PIQ) will need to be completed to determine the exact antenna requirements for the hospital's particular installation. Associated costs will vary dependent upon the size and complexity of the installation.
Spacelabs Healthcare's telemetry antenna installation is based upon the use of standard PVC jacketed interconnecting cables. If local conditions or regulations require use of plenum-rated cabling, antenna kits specifying that plenum-rated cable is included must be purchased. If, upon completion of the Pre-Installation Questionnaire by our local FSE, additional plenum cabling is required (beyond that which is included in the antenna kits) , Spacelabs will charge $1 .00 per foot for the additional plenum-rated cable.
Wireless Monitors
2020-200722 Rev. 2 I Joel Aguilar
Page 3
Quote Date: June 05, 2020
SPACE LABS
HEALTHCARE
Prior to an acceptance of a purchase order for the wireless monitors quote erein, Spacelabs Healthcare requires a Signed
Acknowledgement regarding the Hospital's decision to have a Site Qualificat Survey performed to validate the wireless coverage area .
To determine the costs associated with the Site Qualification SurveY,
), Space abs will need some basic information from
the Hospital. Cooperation of hospital employees should be expect
such information. Your Spacelabs Sales
Executive will email a link to a web-based Site Profile Form to th
. The responses to this form will immediately
be forwarded to our Wireless Team upon completion by your Hosp1
resentative. This information will allow Spacelabs to
provide the Hospital with a quote for the Site Qualification Sur e . The
f this service varies and is dependent upon
network design and size of the coverage area. The Site Qua,.~iii*llWJlY will be an additional expense incurred by the
Hospital.
In some instances, the quote for this Site Qualification
1s 1n ded within the enclosed wireless monitoring quote.
However, if the cost for the Site Qualification Survey i
included within, the Hospital will receive a separate quote for
such services from Spacelabs or our network desi
al Technology Resources, Inc. (GTRI). The quote for the
SQS will be delivered to the Hospital within one d of r eipt of the completed Site Profile Form. A follow-up call will be
scheduled with the Hospital to review the quote Cl to
ny questions regarding its necessity. The Hospital will need to
review the quote for the SQS services and inform
f their decision to proceed with an SQS. Hospital will be asked to
sign an Acknowledgement confirming wheth n t
ould like to proceed with the Site Qualification Survey or not.
Spacelabs cannot accept a P.O. for the wir
s until such signed Acknowledgement has been received .
Upon acceptance of the P.O. for the Site Q
urvey, Spacelabs or our partner, GTRI , will contact the Hospital to
1 schedule a mutually convenient time ~f ~~ ·~i«iimi'lf: of the SQS at the Hospital site. Once the SQS is completed , a detailed
report will be provided to the Hospit
y or may not include possible modifications to the infrastructure to ensure
optimal performance of Spacelabs
itors. The cost for such modifications is the responsibility of the Hospital and all
work must be completed by an a th
r approved by Spacelabs Healthcare.
I i for budgetary purposes only and does not constitute an offer to sell on the part of , delivery, product specifications and other information is subject to change without
.,,."""'"tf!V sed to provide a formal quotation upon request.
2020-200722 Rev. 2 I Joel Aguilar
Page 4
Quote Date: June 05, 2020
SPACELABS
HEALTHCARE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
Line Description
Cuero ED Equipment Repl
1 Qube Mini Transport Monitor
91389
2 Qube Mini , base unit
91389-A
3 English Language
4 Six Waveforms
5 Patient Data Logger (POL)
6 Wireless (802 .11 a/b/g)
7 Ultraview SL Command Module
8 English Language
2
9 Non-Invasive Parameter Set
2
10 Advanced Multiview Arrhythmia (MVll)
2
11 Nellcor Sp02
2
12 12-lead diagnostic ECG with measure
2
interpretation
13 Adult/Neonatal Respiration
2
14 ST Segment Analysis
2
15 AriaTele Telemetry Transmitter
96281
3
16 ECG Transm itter
96281-A
3
17 Q Band (608-614 MHz)
96281-05
3
18 Wideband (50 kHz band
96281-W
3
19
96281-J
3
20
96280
21 Xhibit Telemetry
96280-A
22 Q Band Receiv
96280-Q
23 Xhibit Telemet Bundle
96280-4
1
24
96280--Q
25 Serial cable for POL * 9 pin to 9 pin connector, 012-0395-00
2
male to male
26 Adapter null modem 9m to9f
131-1588-00
2
27 Roll Stand for 91389/91331/91330
016-0823-00
2
28 Roll Stand Mounting Kit for 91389/9133 1/91330 016-0827-00
2
External Power Supply
29 Mounting adapter, Qube Mini , 91389
SL-0087-16
2
30 Printer, Laserjet, HP, M506N , 11 OV
010-1971-01
31 USB Cable A-Male to B-Male 2.0, 6ft
01 0-1863-00
1
32 Active antenna kit, 608-614 MHz WMTS with 040-141 0-02
1
11 Ov power supply
33 1 Bed Clinical Access Bundle License
910-3999-0 1
5
34 1 Bed Interface Bundle License
910-3998-01
5
Price 0.00
9,000.00 0.00
2 ,200 .00 950 .00 531 .92 0.00 0.00
4 ,700 .00 1,440.00
700.00 1,390.00
Unit Net Price 0.00
4 ,635 .00 0 .00
1,133.00 489 .25 273 .94 0.00 0.00
2 ,726 .00 0.00
700 .00 715 .85
Ext. Net Price 0.00
9 ,270 .00 0.00
2,266.00 978.50 547 .88 0.00 0.00
5,452 .00 0.00
1,400 .00 1,431 .70
500 .00 380 .00
0.00 2,400 .00
0.00 0.00 0.00 0 .00 0 .00 0.00 37,000.00
257.50 195.70
0.00 1,236 .00
0.00 0 .00 0.00 0.00 0.00 0.00 19 ,055 .00
515 .00 391.40
0.00 3,708.00
0.00 0.00 0.00 0.00 0.00 0.00 19 ,055 .00
0 .00 140.00
0 .00 72.10
0.00 144.20
21 .18 295.00
78 .00
21 .18 295 .00
78 .00
42 .36 590 .00 156.00
120.00 1,600 .25
29 .37 2 ,209 .00
120.00 824 .13
15.13 2,209 .00
240.00 824.13
15.13 2 ,209 .00
600 .00 400.00
309 .00 206 .00
1,545.00 1,030 .00
2020-200722 Rev. 2 I Joel Aguilar
Page 5
Quote Date: June 05, 2020
SPACELABS
H E AL TH CAR E
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
Line Description
35 Network Evaluation : Consult in network design for a new installation and verify the network before going live, price per hospital department
36 Depot Support Plan . Unit price is per year. Monitoring Products only.
37 Uninterruptible Power Supply (UPS) , 750VA, 120VAC, 96280 * Not discountable
38 Cabinet, 19 inch rack, 12U, black * Not discountable
39 ECG combiner cable, 5-Lead Spacelabs monitors, AAMI
40 ECG combiner lead wire set, 5L, multi-pine AAMI , 74cm/29 in
41 BP hose, single tube, adult
42 Dual temperature adapter cable, 30c
n
43 Universal temperature probe extens n ca YSI 400 series compatible
44 ECG combiner adapter, Aria Tele et~~W. AAMI
45 CD-ROM, Manual , Ops, 96 ·
46 AriaTele Service Manual , D-
47 Operation Manual , CD, Xh
48
49 Monitoring third party attached quotatio det<::11·<¥1...,
50 Xhibit XC4 Cen St
51
52
53 Enhanced Software Support Plan (ICS/ XprezzNeUXhibit) , expires on same date as existing contract
54 Capnography Pod
55 English Language
56 Capnography Pod, base unit
57 Nellcor OxiMax DS-100A finger sensor, adult
58 Nellcor OxiMax sensor adapter cable
59 Patient Monitoring Service Manual, CD-ROM
60 Ultraview SL Network Operations Manual, CDROM , English
61 Power Cord , North America , 3 ft, 120V, 10A
62 Installation
Cuero ED Equipment Replacement Total
Item Number
Unit List
Price
999-1510-01 &£.:ill~~
2
5
2 2 2
700-0008-88
3
084-220 1-01 084-2202-0 1 084-230 1-06 084-1479-06 999-1878-00
96501
2
96501 -B
2
910-650 1-01
2
999-1898-11
1
5,023 .07
1,054.97
854.82
86 .67
86 .67
46.50 78 .80 62 .00
53.33
0.00 0.00 0.00 0.00 0.00
0.00 5,500 .00
0.00 0.00
92516
2
92516-1
2
92516-A
2
690-0003-0 1
2
700-0792-00
2
084-0700-03
1
084-1101-05
161-0246-00
4
999-9999-97
1
0.00 0.00 6,300.00 97 .65 315.00 0.00 0.00
40 .10 2,864.47
Unit Net Price
5,000.00
Ext. Net Price
5,000.00
0.00
0.00
1,054.97 1,054.97
854 .82
854 .82
61 .54
123.07
61 .54
307.68
31 .85 59 .10 46 .50
63.70 118.20
93 .00
38 .93
116.79
0.00 0.00 0.00 0.00 366 .66
0.00 0.00 0.00 0.00 366.66
0.00 5,500 .00
0.00 0.00
0.00 11 ,000.00
0.00 0.00
0.00 0.00 3,244.50 72 .80 236.25 $0 .00 $0 .00
0.00 0.00 6,489.00 145.60 472 .50 0.00 0.00
$40 .10
160.40
$2 ,148.35 2,148.35
$80,326.04
2020-200722 Rev. 2 I Joel Aguilar
Page 6
Quote Date: June 05, 2020
SPACELABS
H E AL TH CA RE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
Cuero ED Equipment Replacement Proposal Notes The 3rd party equipment quoted herein carries the warranty of the o inal manufacturer. Returns are subject to the vendor's return policy and may not be possible
2020-200722 Rev. 2 I Joel Aguilar
Page 7
Quote Date: June 05, 2020
SPACELABS
H E A LTH CA RE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
ICS SOFTWARE & HARDWARE REQUIREMENTS
UP TO 32 BEDS· " DEPARTMENTAL SYSTEM"
ICS DEPARTMENTAL SERVER
Database/Application/Loaders on one server (ALL-IN-ONE)
Quantity Required - 1 virtual or physical Processor - Intel Xeon E5-1410 V2, 2.80 GHz, 10 MB cache, Turbo 3.2 GHz (1 socket 4 cores) Memory - 32 GB, 1333 MHz Storage Sizes - Disk sizes
· Vol 1 - 128 GB for OS and app · Vol 2 - 66 GB for Portal DB transaction log file · Vol 3 - 132 GB for Portal DB data file · Vol 4 - 66 GB for SQL Temp DB · Vol 5 - 164 GB for Software & Portal backups (if needed) RAID Controller · Vol 1 - RAID1 - SAS 15K · Vol 2 - RAID1 - SAS 15K · Vol 3 - RAID10 - SAS 15K · Vol 4 - RAID1 · Vol 5 - RAID5 OS - Windows Server 2012 R2 Standard Edition Observations - SQL Server 2012 or 2014 Standard Edition (mixed mode authorized)
2020-200722 Rev. 2 I Joel Agu ilar
Page 8
Quote Date: June 05, 2020
SPACELABS
H E AL TH CA RE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
UP TO 128 BEDS - " S MALL MULTl-DEPARTMENT SYSTEM"
ICS DATABASE SERVER (Core Services) Quantity Required - 1 virtual or physical Processor - Intel Xeon £5-2620 V2 2.10 GHz, 15 MB cache (1 socket 6 cores) Memory - 64 GB 1600 MHz Storage Sizes - Disk sizes
· Vol 1 - 96 GB for OS and app · Vol 2 - 114 GB for Portal DB transaction log file · Vol 3 - 228 GB for Portal DB data file · Vol 4 - 114 GB for SQL Temp DB · Vol 5 - 356 GB for Software & Portal backups (if needed) RAID Controller · Vol 1 - RAID1 - SAS 15K · Vol 2 - RAID1 - SAS 15K · Vol 3 - RAID10 with at least 2 SSD drives or RAID 10 - SAS 8 x 15K drives · Vol 4 - RAID1 · Vol 5 - RAIDS OS - Windows Server 2012 R2 Standard Edition Observations - SQL Server 2012 or 2014 Standard Edition (mixed mode authorized)
APPLICATION SERVE R (HL 7 Vital Signs, HL 7 ADT, ENI, 12 Lead Interfaces) Quantity Required - 1 virtual or physical Processor - E5-1410 v2 2.80 GHz with 10 MB cache (1socket4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller - RAID 1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required
MONITOR LOADER (Beds ide Monitor and Legacy UVSL Telemetry - 64 bed capacity per server) Quantity Required - 1 virtual or physical Processor - E5- 1410 v2 2.80 GHz with 10 MB cache (1socket4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller - RAID 1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. May require 2 NIC's for multi-cast routing.
DATA LOADER (XTR - Xhib it Teleme try Receiver - up to 100 beds per server) Quantity Required - 1 virtual or physical Processor - Dual socket E5-2630 v2 2.60 GHz with 15 MB cache (2 sockets 6 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 256 GB for OS and app RAID Controller - RAID1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. Requires 2 NIC 's.
2020-200722 Rev. 2 I Joel Aguilar
Page 9
Quote Date: June 05, 2020
SPACELABS
HEALTHCARE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
UP TO 300 BEDS· "MEDIUM MULTI-DEPARTMENT SYSTEM"
ICS DATABASE SERVER (Core Services) Quantity Required - 1 virtual or physical Processor- Intel Xeon E5-2630 V2 2.60 GHz, 15 MB cache (1 socket 6 cores) Memory - 72 GB 1600 MHz Storage Sizes - Disk sizes
· Vol 1 - 96 GB for OS and app · Vol 2 - 200 GB for Portal DB transaction log file · Vol 3 - 400 GB for Portal DB data file ·Vol 4 - 200 GB for SOL Temp DB · Vol 5 - 700 GB for Software & Portal backups (if needed) RAID Controller · Vol 1 - RAID1 - SAS 15K · Vol 2 - RAID1 - SAS 15K · Vol 3 - RAID10 with at least 4 SSD drives or SAS 8 x 15K drives · Vol 4 - RAID1 SAS 15K · Vol 5 - RAIDS OS - Windows Server 2012 R2 Standard Edition Observations - SOL Server 2012 or 2014 Standard Edition (mixed mode authorized) Allocate 64 GB RAM to SOL, and leave rest for OS, Apps
APPLICATION SERVER (HL7 Vital Signs, HL7 ADT, ENI, 12 Lead Interfaces) Quantity Required - 1 virtual or physical Processor - ES-1410 v2 2.80 GHz with 10 MB cache (1socket4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller - RAID1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required
MONITOR LOADER (Bedside Monitor and Legacy UVSL Telemetry - 64 bed capacity per server) Quantity Required - 1 virtual or physical Processor - E5- 1410 v2 2.80 GHz with 10 MB cache (1socket4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller - RAID 1 - SAS 1SK OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. May require 2 NIC 's for multi-cast routing.
DATA LOADER (XTR - Xhibit Telemetry Receiver - up to 100 beds per server) Quantity Required - 1 virtual or physical Processor - Dual socket E5-2630 v2 2.60 GHz with 15 MB cache (2 sockets 6 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 256 GB for OS and app RAID Controller - RAID 1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. Requires 2 NIC 's.
2020-200722 Rev. 2 I Joel Aguilar
Page 10
Quote Date: June 05, 2020
SPACELABS
HEAL T HCARE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
UP TO 500 BEDS "LARGE MULTl-DEPARTMENT SYSTEM"
ICS DATABASE SERVER (Core Services) Quantity Required - 1 virtual or physical Processor - Dual socket E5-2630v3 2.40 GHz with 20 MB cache (2 sockets 8 cores ea) Memory - 96 GB 1866 MHz Storage Sizes - Disk sizes
· Vol 1 - 96 GB for OS and app · Vol 2 - 300 GB for Portal DB transaction log file · Vol 3 - 600 GB for Portal DB data file · Vol 4 - 300 GB for SQL Temp DB · Vol 5 - 1100 GB for Software & Portal backups (if needed) RAID Controller · Vol 1 - RAID1 - SAS 15K · Vol 2 - RAID1 - SAS 15K · Vol 3 - RAID10 with at least 4 SSD drives · Vol 4 - RAID1 SAS 15K · Vol 5 - RAIDS OS - Windows Server 2012 R2 Standard Edition Observations - SQL Server 2012 or 2014 Standard Edition (mixed mode authorized) Allocate 64 GB RAM to SQL, and leave rest for OS, Apps
APPLICATION SERVER (HL7 Vi tal Signs, HL7 ADT, ENI, 12 Lead Interfaces) Quantity Required - 1 virtual or physical Processor - ES-1410 v2 2.80 GHz with 10 MB cache (1socket4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller - RAID 1 - SAS 1SK OS - Win dows Server 2012 R2 Standard Edition Observations - No SQL Required
MONITOR LOADER (Bedside Monitor and Legacy UVSL Telemetry - 64 bed capaci ty per server) Quantity Required - 1 virtual or physical Processor - ES- 1410 v2 2.80 GHz with 10 MB cache (1socket4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller - RAID 1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. May require 2 NIC 's for multi-cast routing.
DATA LOADER (XTR - Xhibit Telemetry Receiver - up to 100 beds per server) Quantity Required - 1 virtual or physical Processor - Dual socket ES-2630 v2 2.60 GHz with 15 MB cache (2 sockets 6 cores) Memory- 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 256 GB for OS and app RAID Controller - RAID 1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. Requires 2 NIC 's.
2020-200722 Rev. 2 I Joel Aguilar
Page 11
Quote Date: June 05, 2020
SPACELABS
H E AL TH CA RE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
UP TO 700 BEDS " LARGE ENTERPRISE SYSTEM"
ICS DATABASE SERVER*
(Core Services) Quantity Required - 1 virtual or physical Processor - Intel® Xeon® Processor E5-2630 v3 with 20 MB cache, 2.40 GHz (2 sockets 8 cores ea) Memory - 160 GB 1866 MHz Storage Sizes - Disk sizes
· Vol 1 - 96 GB for OS and app · Vol 2 - 400 GB for Portal DB transaction log fi le · Vol 3 - BOO GB for Portal DB data file · Vol 4 - 400 GB for SQL Temp DB · Vol 5 - 1500 GB for Software & Portal backups (if needed) RAID Control/er · Vol 1 - RAID1 - SAS 15K · Vol 2 - RAID1 - SAS 15K · Vol 3 - RAID10 with at least 6 SSD drives · Vol 4 - RAID10 SAS 15K · Vol 5 - RAIDS OS - Windows Server 2012 R2 Standard Edition Observations - SQL Server 2012 Enterprise Edition (mixed mode authorized)
or SQL Server 2014 Standard Edition (mixed mode authorized)
.-,tits 1mplementatJon hes not been fully le.st~. Based on l/Je actual ·y.stttm petformance, $1)l1ttJng the dateb·H may be a better llltemetrve
APPLICATION SERVER (HL7 Vital Signs, HL7 ADT, ENI, 12 Lead Interfaces) Quantity Required - 1 virtual or physical Processor - E5-1410 v2 2.80 GHz with 10 MB cache (1 socket 4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller - RAID 1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required
MONITOR LOADER (Bedside Monitor and Legacy UVSL Telemetry - 64 bed capacity per server) Quantity Required - 1 virtual or physical Processor- E5- 1410 v2 2.80 GHz with 10 MB cache (1socket4 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 96 GB for OS and app RAID Controller- RAID1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. May require 2 NIC 's for multi-cast routing.
DATA LOADER (XTR - Xhibit Telemetry Receiver - up to 100 beds per server) Quantity Required - 1 virtual or physical Processor - Dual socket E5-2630 v2 2. 60 GHz with 15 MB cache (2 sockets 6 cores) Memory - 8 GB 1333 MHz UDIMM Storage Sizes - Vol 1 - 256 GB for OS and app RAID Controller - RAID 1 - SAS 15K OS - Windows Server 2012 R2 Standard Edition Observations - No SQL Required. Requires 2 NIC 's.
2020-200722 Rev. 2 I Joel Aguilar
Page 12
Quote Date: June 05, 2020
S P AC EL ABS
HEALTHCARE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
SUPPORT PLAN PORTFOLIO
WARRAN · }- NO .... urrr .- rL
Vllsr1'ln·y Options
8 x 5 Warranty On-site coverage during normal business hours.
Warranty description identical to the Depot Support Plan specification provided below.
Depot Warranty Return lo depot coverage.
Warranty description identical to the Depot Support Plan specification provided below.
24 x 7 Support Plan
On - site coverage 24 hours a day. 7 days a week. 365 days a year. Designed for customers who prefer that Spacelabs meets all of their service suppon needs 24 hours a day. All safety updates are included. our technical support and field service teams are availabl& 24 hours a day. 7 days a week to ensu re that your equipment is kept in peak operating condition In the event that there is a problem that we can't fix immediately, pnority aeces& to ou r dedicated pool of loaner equipment is assured.
8 x 5 Support Plan
On ~ site coverage during normal business houra Desagned for customers who prefer that Spacelabs meets all of their service support needs withm normal workmg hours All safety updates are included, our technical support team is available 24 hours a day, 7 days a week and our field service teams are available 8 hours a day, 5 days a week to ensure your equipment 1s kept in top operating condition.
Depot Support Plan
Return to depot coverage. Designed for Spacetabs customers who have less urgent equipment servicing needs All safety updates are included and our technical support team is avaifoble 24 hours a day. 7 days a week. II there is a problem that we cani fix remotely, arr ngements will be made to get the device returned to the factory for immediate update or repair.
Parts Exchange Support Plan
Spare part coverage for trained b1omeds DeSJgned for Spacelabs customers whose biomed teams have completed our Spacelabs Certified Technical Training courses. Our technical support team is available 24 hours a day, 7 days a week to help diagnose problems and to then supply any parts required for your Spacelabs certified biomed staff to perform the repair
Enhanced ICS Software Support Plan/Basic Software Support Plan
Software update coverage These low cost agreements are designed for Spacelabs customers who simply wish to ensure that their equipment's software 1s updated lo the most current level every year. T he Enhanced plan is required for customers purchasing ICS G2 For 'Mission Critical' users the Enhanced Plan also provides 24 hours a day, 7 days a week access to our teem of IT Product Specialists and an option to include remote Preventive Maintenance checks for a small additional charge of 0 5~
a An la carte approach allowing customers select coverage to suit specific needs We ·ppreC4ate thet on
occasion, a hospital may have some very 1nd1v1dual and unique support requirements For this reason. we Ve included a 'Custom· column in the speclf1cabon matnx on the back of th1a sheet Place a check m·rk by each of the services you require and we11 be deltghted to provide you with a quotation tailor-made for you
Page 13
Quote Date: June 05, 2020
.
SPACELABS
H E AL TH CA RE
35301 SE Center St Snoqualmie, WA 98065 www.spacelabshealthcare.com
Support Plan Portfolio
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1·5 Te..-phone Support
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PREVENTATIVE MAINTENANCE (PM) - Full OEM spec1ficahon
On···· 25% Di scount tor
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11% Discount for PM Puts used by FSI! (Discount provided In addition lo any discounts currentty In place)
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Remote ICS Prevent.Uva Maintenance (TWo system pefformance evatuat10ns per year)
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./ ./ ./ ./ ../ ../ ./ ./
./ ./ ./ ./ ./ ../
OPT
Ol: HAM · H : OOPM Qn..sHe CM Cove,.p (Cu11omar local time. FSE travel & labor Included)
2· X 7 On··it· CM Cover11ge (lndudes weekends & holidays , FSE travel & labor included) Relum to Depot CM Cove,.ge (Labor & return shipping Included) CM Repair Parta c over1119 (Excludes supplies & acceuories)
Prtortty t..oan E.qulp...ant (N o charge, st.mject 10 avallabillty)
:1 f 111\AF: '"" I ' 1,.{ I
Safety Updtltea (l n dudes FSE travel & labor) AnnU11l P9rformance ~nhanclng Upcllitea (lndudes FSE travel & labor) SpaC191aba ICS SoftwaN Upgnidlla (lndudes upgrade to lnlesy· CMnteal Suite (ICS) 5) Ol1count on Poat a.p···nllllon Interface Support (lndudea any FSE travel & labor required)
c.~·d ··a perc:enU· or tt. M:lllng prtm ol eU product a c ove,..d
(Subject lo maldmum discount ot 25% rrom list price)
./ ../ ./ ../ ./
./ ./
../ ./ ./ ./ ./ ./ ../ ./ ./ ./ ./ ./ ./ ./
./ ./ ./ ./ ./ ../ ./ ../ ../ ./ ./ ../
A detailed descnpbon of the 5etvlC9 o/fenng5 and applicab#J tenns sh8U be included in the Space/abs Custom tr Quotation form
SPACE LABS
HEALTHCARE
I I I I 35301 SE c.enterStSnoq\almle , WA 980615 ·14215 3Q6 3300 ·1 800 522 7025 · 1 Harford· Court .JOhn l1 t1 ROid ,Hert1ord , SG137NW , UK +44 (0)1992 607700 +44 (0)1192 501213 w w w s p a c e I abs h ea I ' h care c 0 m Q 2016 Spacallbs HHllhCIN Sp1clfk:ltJon1 suottd to Chlnge w·noUI nooca M4000.Ja16/0r9 No OJ0-0007-00 Ro A
2020-200722 Rev. 2 I Joel Aguilar
Page 14
Quote Date: June 05, 2020
Philips Healthcare , a division of Philips Electronics North America Corporation
PHILIPS
Cuero Community Hospital
2550 N Esplanade St CUERO, TX 77954-4736 Customer Number: 94027199
Attention : E-mail :
Account Manager Eric Rawlins 222 Jacobs Street Cambridge, MA
Fax: E-mail: eric.rawlins@philips .com
Budgetary Quote Number: CQLM_001562 Version : 2 Date: 6 -11 -2020
ED Quote - (2) MX500s & X3s
A PRODUCT OFFERING ... .... ...... ... .. ... ...... .... .. ...... .. .. .... ... .... ......... ...... .... ..... .... ... ... ............ .................. ... ....... .... .... .. . 2 B SPECIAL COMMENTS .. .. ... .. .... ........ ...... .. .... .... .. ........ ..... ....... ..... ............ .... ..... .... ..... .. ..... ............ .. .... .. ..... .............. 5 C DISCLAIMER .... .. .... ..... .... ..... .... ...... .. ..... .. .... ................ ...... ..... ... .............. ... .. .. .... ........... ......... ... ....... ...... .. ... .. .. ........ 5
CQLM_001562 06/1112020
Note: Please do not use these prices as the basis to generate a purchase order.
A PRODUCT OFFERING A.1 Products
Qty
1 866390
RVC NEW 5 1XC 5 LOB
5 ovc
5 PRC 5 V1C
Description
PATIENT INFORMATION CENTER IX EXPAND RVC PIC IX SOFTWARE RELEASE C NEW NEW ADD ON OR EXPAND 1XC PIC IX BASE LOB LOCAL DATABASE OVC OVERVIEW REV C PRC PRO REVC V1 C VISIBILITY REV C
Subtotal:
Unit List Price Discount %
Extended Price
$0 .00 $0.00 $2,300 .00 $0 .00 $1,420 .00 $875 .00 $555 .00
0% 0% 44% 0% 44% 44% 44%
$0 .00 $0 .00 $6,440.00 $0 .00 $3,976 .00 $2,450 .00 $1 ,554.00
-----------------$14,420.00
Picture represents prodl.ICI family and oot exact oonf1g1.1ration ql.lllted
Qty
2 866064_NAM
2 SL1
Description
INTELLIVUE MXSOO US lntelliVue MX500 monitor
SL1 MXSOO STANDARD MONITOR
Subtotal:
Unit List Price Discount %
$13,725 .00 44%
Qty
2 867030
2 A03
Description
INTELLIVUE X3 The lntelliVue X3 is a compact, battery operated patient monitor and multimeasurement module. It is designed for use with lntelliVue host monitors (companion mode), stationary monitoring , and monitoring during in-hospital patient transfer.
A03 3-WAVES CAPABILITY
Unit List Price Discount %
$0 .00
0%
CQLM_001562 .
06/11/ 2020
Note: Please do not use these prices as the basis to generate a purchase order.
Extended Price
$15 ,372 .00 $15,372.00
Extended Price
$0 .00
2
2 H72 2 B06 2 SP1 2 SC2 2 E31 2 J45
H72 CRITICAL CARE TRANSPORT SW B06DUALPRESSANDTEMP SP1 FAST SP02 SC2 SYSTEM CABLE - 2.0 M E31 CARRYING HANDLE J45 SMART HOPPING IF 1.4 GHZ
Subtotal:
Qty
3 867030
3 A03 3 H72 3 B06 3 SP1 3 SC2 3 E31 3 E50 3 J45
Description
INTELLIVUE X3 The lntelliVue X3 is a compact, battery operated patient monitor and mu ltimeasurement module. It is designed for use with lntelliVue host mon itors (compan ion mode), stationary mon itoring , and monitori ng during in-hospital patient transfer.
A03 3-WAVES CAPABILITY
H72 CRITICAL CARE TRANSPORT SW
B06DUALPRESSANDTEMP
SP1 FAST SP02
SC2 SYSTEM CABLE - 2.0 M
E31 CARRYING HANDLE
E50 INTELLIVUE DOCK
J45 SMART HOPPING IF 1.4 GHZ
Subtotal:
Qty
5 M1668A 5 M1968A 5 989803199741 5 M1599B
5 M1191B
Descri ption
CBL 5 LEAD ECG TRUNK, AAMl/IEC 2.7M CBL 5 LEADSET, GRABBER, AAMI, ICU DUAL IBP ADAPTER ADULT PRESSURE INTERCONNECT CABLE 3.0M REUSABLEADULTSP02SENSOR
Subtotal:
$1 ,600.00 $1 ,130.00 $8 ,410 .00
$0 .00 $185 .00 $1 ,770.00
44% 44% 44%
0% 44% 44%
$1,792 .00 $1 ,265.60 $9,419 .20
$0 .00 $207 .20 $1 ,982.40
-------------$14,666.40
Unit Li st Price Discou nt %
Extended Price
$0.00 $1 ,600.00 $1 ,130.00 $8 ,410 .00
$0 .00 $185 .00 $720 .00 $ 1,770 .00
0% 44% 44% 44%
0% 44% 44% 44%
Unit List Price Discount %
$145 .23 27% $116 .39 27% $157 .59 27%
$71.07 27%
$0 .00 $2 ,688 .00 $1 ,898.40 $14 ,128.80
$0 .00 $310 .80 $1 ,209.60 $2 ,973 .60
-------------·--$23,209.20 Extended Price $530 .09 $424 .82 $575 .20 $259.4 1
$271 .92 27%
$992 .51
---------------
$2,782.03
CQLM_001562 .
3
06/111 2020
Note: Please do not use these prices as the basis to generate a purchase order.
Total Product(s)
A.2 Implementation Solutions
Qty Part Number
Description
1 890500 1 A04
Qty Part Number
5 MXU0175
Qty Part Number
INSTALLATION SITE SERVICES (CMS) FACILITIES IMPL SOLUTIONS
Description
WALL CHANNEL SEISMIC 19"
Description
989805700057 UPS EQUIPMENT ROOM , VAS (I)
Qty Part Number
Description
1 MXU0295
Qty Part Number
3 MXU0335
Qty Part Number
2 MXU0345
Qty Part Number
DISPLAY FLT PNL NON-TOUCH PllC IX 23" HP
Description
M-SERIES WALL CHAN MNT 8" PVT MP2/X2/X3
Description
M-SERIES PIVOT ARM KIT 12", 6" DP (I)
Description
2000 MXU0524
Qty Part Number
INTELLIVUE NETWORK SMART HOPPING WIRED
Descri ption
5 MXU0523
Qty Part Number
2000 MXU0481
Qty Part Number
INTELLIVUE NETWORK - HARDWIRED (PER BED)
Description
SH COVERAGE 10,001 TO 50,000 SQ FT
Descri ption
7 MXU0575 7 A02
PROJECT MANAGEMENT SERVICES A02 ADVANCED
Total value added implementation solutions
A.3 Clinical configurations and implementation services
Qty Part Number
Description
1 890539 1 A06 1 890539 1 A12
CLINICAL CONFIG. & IMPL. SERVICES (CMS) 1 OVERTIME SHIFT CLINICAL CONFIG. & IMPL. SERVICES (CMS) INTELLIVUE SCREEN CREATION
Total Clinical Education
----------$70,449.63
Unit List Price
$0 .00 $3 ,968 .91
Unit List Price
$4 1.00
Unit List Price
$268 .00
Unit List Price
$521 .00
Unit List Price
$324 .00
Unit list Price
$324 .00
Unit List Price
$1 .29
Unit List Price
$685 .00
Unit List Price
$2.11
Unit List Price
$0.00 $285 .00
Extended Price
$0 .00 $3 ,968 .9 1
Extended Price
$205 .00
Extended Price
$268 .00
Extended Price
$521 .00
Extended Price
$972 .00
Extended Price
$648 .00
Extended Price
$2 ,580 .00
Extended Price
$3, 425 .00
Extended Price
$4 ,220 .00
Extended Price
$0.00 $1 ,995.00
---------------$18 ,802.91
Unit List Price
$0.00 $2 ,650.00
$0 .00 $2, 28 7 .00
Extended Price
$0 .00 $2 ,650.00
$0 .00 $2 ,287 .00
-------------------$4,937 .00
Total Discount (eligible items only)
CQLM_001562 .
06/111 2020
Note: Please do not use these prices as the basis to generate a purchase order.
$148,385.91 - $54,196.37
-----------
4
Total including applicable discount
$94,189.54
B SPECIAL COMMENTS
Please be aware that this quotation is one part of a series of quotations, which constitutes a larger overall project and purchase. To understand and analyze this proposal in its entirety, other quotations must be considered .
C DISCLAIMER
The information set forth herein is for budgetary purposes only. This document does not constitute an offer to sell on the part of Philips Healthcare. Philips Healthcare makes no representations or guarantees of any kind with respect to price, availability, delivery, or other information contained herein , and all such information is subject to change without notice. Philips Healthcare will be happy to provide a formal quotation on request.
Not binding until accepted in writing by Philips in Andover or invoiced by Philips. Any purchase order or resulting agreement shall be subject to the Philips Terms and Conditions and the following terms which customer accepts.
For certain agreements, Philips may conduct a qualification inspection to verify that customer is suitably trained, the equipment is in serviceable condition , and all like equipment is covered by a valid Philips warranty or service agreement. Any resulting agreement is subject to cancellation by Philips if customer fails to satisfy these conditions during the term.
Note: Please do not use these prices as the basis to generate a purchase order.
CQLM_001562 .
5
06/1112020
Note: Please do not use these prices as the basis to generate a purchase order.
min dray
Proposal Summary
Proposal Date:
Proposal Number: Proposal Exp. Date: Sales Rep: Proposal For:
None
Q-36002 Jun 3, 2020 Jason Mackey CUERO COMMUNITY HOSPITAL
Contact: Title : Phone: Email :
Angela Mckinney
361-275-6191 angelam@cuerohospital.org
Total Price By Department
Mindray OS USA, Inc.
800 MacArthur Blvd. Mahwah , NJ 07430 Tel : 201-995-8000 Fax: 800 .266.9624
Shared Servers
Department Name Shared Servers
List Price USO 70, 151 .02
Departmental Discount USO -18,524.40
Shared Servers TOTAL:
Med Surg
Department Name Med Surg
List Price USO 148,763.51
Departmental Discount USO -46,236.05
Med Surg TOTAL:
Egateway
Department Name eGateway
List Price USO 23,210.00
Departmental Discount US0 -388.00
Egateway TOTAL:
ICU
Department Name ICU
List Price USO 124,094.00
Departmental Discount USO -58,931.44 ICU TOTAL:
Recovery
Department Name Recovery
List Price USO 41 ,846.00
Departmental Discount USO -19,858.52
Recovery TOTAL:
Emergency
Department Name Emergency
List Price USO 75,531 .76
Departmental Discount USO -36,777.10
Emergency TOTAL:
Mindray OS USA, Inc. 800 MacArthur Blvd ., Mahwah, NJ 07430-0619 Tel: (201) 995-8000 Fax: (800) 266-9624
Net Price USO 51 ,626.62 USO 51 ,626.62
Net Price USO 102,527.46 USO 102,527 .46
Net Price USO 22,822.00 USO 22,822 .00
Net Price USO 65,162.56 USO 65,162.56
Net Price USO 21 ,987.48 USO 21 ,987.48
Net Price USO 38,754.66 USO 38,754.66
Page 2 of 13
min dray
TOTAL: USO 302,880.78
Mindray OS USA, Inc. 800 MacArthur Blvd., Mahwah , NJ 07430-0619 Tel: (201) 995-8000 Fax: (800) 266-9624
Page 3of13
min dray
To:
Angela Mckinney
CUERO COMMUNITY
HOSPITAL
2550 NORTH ESPLANADE
(HSS)
CUERO, TX 77954
Affiliation: HIND
Sales Representative: Jason Mackey
Quote Number:
Q-36002
Proposal Date:
None
Phone: E-mail:
+1 3252126554 j .mackey@mindray .com
Shared Servers
Line Part Number #
115-051209-00
2
803-011986-00
3
803-011986-CRDT
4
121-001373-00
5
12 1-001269 -00
6
121-001372-00
7
803 -040043-00
8
045-003660-01
9
023-001412-00
10 803-070282-00
11 803-070485-00
12 5000-CS-ABMT-01
13 803-070492-00
Description
BeneVision DMS host package (2U Ra ck) One Year Extended Warranty for BeneVision DMS 2U Rack Server Buying Group Warranty Credit BeneVision CS Bed License (FD , Bed, Adv) - Per Channel BeneVision Central Station - TelePack license Key Package. Includes : One Arry1hmia detection, St Segment analysis and QT Monitoring license per TelePack channel. BeneVision CS Server License 2.4/5GHz Rack/Core Charge BeneVision DMS R4 Software Media Kit Network Time Server BeneVision DMS PDF Printing capability Professional Services Cable pull and tenting procedures Hospital Network Integration
List Price
Net Price QTY
USD 6,000.00 USD 1,595.00
USD 3,172.50 USD 1,355.75
USD 0.00 USD 400.00
USD-1 ,355.75 USD 198.00 6
USD 875.00
USD 433.13 16
USD 9,700.00
USD 4,801.50
USD 18,000.00 USD 18,000.00
USD 0.01
USD 0.00
USD 2,176.00
USD 1,254.53
USD 0.01
USD 0.01
USD 275.00
USD 275.00 2
USD 11 ,330.00 USD 11 ,330.00
USD 4,400.00
USD 4,400.00
Shared Servers TOTAL:
Med Surg
Line Part Number # 14 115-050935-00 15 803-040044-00
16 0992-00-0002-04 17 803-011963-00 18 803-011963-CRDT 19 121-001453-00 20 121-001375-00
Description
BeneVision DMS Workstation , Mini PC WorkStationNertical Server installation, cable and setup. Includes. installation and setup for one Workstation and up to three display screens. (Includes cable pulling) OEM Uninterrupted power supply APCBR800 One year extended warranty for BeneVision DMS Buying Group Warranty Credit BeneVision DMS Widescreen Touch Display BeneVision WorkStation Server Li cense
List Price
Net Price QTY
USD 3, 000.00 USD 2,850.00
USD 1,485.00 USD 2,536.50
USD 186.00 USD 1,250.00
USD 0.00 USD 2,975.00 USD 3,400.00
USD 158.63 USD 1,062.50 USD -1,062 .50 USD 1,472.63 USD 1,683.00
Total Net
USD 3,172.50 USD 1,355.75
USD -1,355.75 USD 1,188.00
USD 6,930.08
USD 4,801 .50 USD 18,000.00
USD 0.00 USD 1,254.53
USD 0.01 USD 550.00 USD 11 ,330.00 USD 4,400.00 USD 51 ,626.62
Total Net
USD 1,485.00 USD 2,536.50
USD 158.63 USD 1,062.50 USD -1,062 .50 USD 1,472.63 USD 1,683.00
Mindray DS USA, Inc. 800 MacArthur Blvd., Mahwah , NJ 07430-0619 Tel: (201) 995-8000 Fax: (800) 266-9624
Page 4 of 13
Line Part Number #
21
110-004115-00
22 803-040050-00
23 803-040046-00 24 023-001566-00 25 803-040039-00 26 121-001453-00 27 121-001854-00
28 121-001857-00
29 803-040039-00
30 CUN-EDTRNG8HR
31
121-001700-00
32 009-004782-00 33 115-034334-02
Description
BeneVision Workstation Bed Licenses . Supports 4-32 beds
Telepack installation and set up for TM80 and TD60.
2.4/5GHz Install per 100 SOFT
HP LaserJet Enterprise M608n Printer
Device Certify & Install W/CABL
BeneVision OMS Widescreen Touch Display
Remote VGA 1-port Transmiter (Requires 1 for each remote display screen)
Short Range VGA Receiver
Device Certify & Install W/CABL
8 Hours of Clinical Education scheduled Monday through Friday
WiFi Telemetry Transmitter With Alarms (TM80) (includes 1 ea - 3 AA Battery Pack) , Compatible with both Masimo and Nellcor Pulse Oximetry. (Sp02)
5-Lead ECG Mobility Leadset, AHA, Snap, 24" Compatible with TM80/TD60
Operator's manual on CD for TD60, TM80 and BP10
List Price
min dray
Net Price QTY
Total Net
USO 300.00
USO 148.50 14
USO 2,079.00
USO 88.25
USO 78.54 14
USO 1,099.56
USO 200.00 USO 3,700.00 USO 1,271 .00 USO 2,975.00 USO 1,200.00
USO 200.00 261 USO 1,831.50 USO 1,131 .19 USO 1,472.63
USO 761.40
USO 52,200.00 USO 1,831.50 USO 1,131 .19 USO 1,472.63 USO 761.40
USO 760 .00 USO 1,271 .00
Included
USO 407 .98 USO 1,131 .19
Included 3
USO 407.98 USO 1,131 .19
USO 0.00
USO 4 ,600.00
USO 2,277.00 14
USO 31 ,878.00
USO 135.00 USO 0.01
USO 85.66 14
USO 1,199.24
USO 0.01
USO 0.01
Med Surg TOTAL: USO 102,527.46
Egateway
Line Part Number # 34 121-001416-00
35 5000-HS-FSIN-01 36 803-070244-00
Description
Rack mount 2U server/RAID 1/Dual power supply/Windows Server 2016/McAfee Application Control. This configuration includes licenses for Results (discrete trended numerical values) , ADT (demographics for positive patient identification), 12-Lead export (with bedsides /w 12-lead and OMS) and Document Management interface. One eGateway supports up to 32 continuous bedside monitors. Capacity can easily be increased to 1200 continuous bedside monitors by increasing the device license to 200 and stacking 5 more eGateways
eGateway installation and configuration (Does not include mapping)
HL7 Mapping for ADT and Results (32 Bed eGateway)
List Price
Net Price QTY
USO 15,000.00 USO 15,000.00
USO 2,710.00
USO 2,322.00
USO 5,500.00
USO 5,500.00
Egateway TOTAL:
Total Net USO 15,000.00
USO 2,322.00 USO 5,500.00 USO 22,822.00
ICU
Line Part Number #
Description
List Price
Net Price QTY
37 121-001521-00
N12 Monitor with Early Warning Score N12 Monitor-includes 5 year warranty , battery, 4 module slots , quick reference guide, line cord and 1 roll of paper
USO 8,105.00
USO 4,011.98 4
Mindray OS USA, Inc. 800 MacArthur Blvd .. Mahwah , NJ 07430-0619 Tel : (201) 995-8000 Fax: (800) 266-9624
Total Net USO 16,047.92
Page 5 of 13
min dray
Line Part Number # 38 121-001621-00 39 009-004787-00 40 115-031807-00
41 115-062361-00 42 045-003427-00 43 121 -001569-00
44 115-050935-00 45 803-040044-00
46 0992-00-0002-04 47 803-011963-00 48 803-011963-CRDT 49 121-001453-00 50 121-001375-00 51 110-004115-00 52 803-040039-00 53 023-001566-00 54 803-040039-00 55 CLIN-ED-
TRNG8HR 56 803-040049-00
Description
Microstream C02 module (115-046966-00) with accessory kit Sales BOM
5-Lead ECG Mobility Leadset, AHA, Pinch , 36" Compatible with TM80/TD60
Reusable Bladderless NIBP Cuff Kit: Includes one Child , Small Adult. Adult, Large Adult, and Thigh cuff Compatible with Accutorr V, DPM 3, OPM 4, DPM 5, DPM 6, DPM 7, Duo, Trio, Passport 2, Passport V, Spectrum , Spectrum OR , V12 , V21 , Accutorr 3, Accutorr 7, Passport 8, Passport 12, T1 , Passport 12m, Passport 17m
N Series Combo Ops Manual
GCX M series 12"pivot arm with adapter
N1 Monitor with Masimo SET® Sp02 , ST/ Arrhythmia analysis, 3/5/6-lead ECG , NIBP, two invasives, dual temperature, integrated battery, 2 .4/5GHz wireless enabled Multiparameter Modules-include Masimo or Nellcor Sp02 adult reusable sensor, Masimo or Nellcor Sp02 cable, reusable adult NIBP cuff and hose , ECG 5 lead adult defib proof cable and ECG 5 lead snap 24" wi re set , and MR420B adapter cable for YSI probe . All other accessories must be ordered separately.
BeneVision OMS Workstation , Mini PC
WorkStationNertical Server installation, cable and setup. Includes , installation and setup for one Workstation and up to three display screens . (Includes cable pulling)
OEM Uninterrupted power supply APCBR800
One year extended warranty for BeneVision OMS
Buying Group Warranty Credit
BeneVision OMS Widescreen Touch Display
BeneVision WorkStation Server License
BeneVision Workstation Bed Licenses . Supports 4-32 beds
Device Certify & Install W/CABL
HP LaserJet Enterprise M608n Printer
Device Certify & Install W/CABL
8 Hours of Clinical Education scheduled Monday through Friday
N1/T1 Monitor installation and setup.
List Price USO 4,440.00
USO 155.00 USO 162.00
Included USO 480.00 USO 11,295.00
USO 3,000.00 USO 2,850.00
USO 186.00 USO 1,250.00
USO 0.00 USO 2,975.00 USO 3,400.00
USO 300.00 USO 1,271 .00 USO 3,700.00 USO 1,271.00
Included U S D 1 1 7 .00
Net Price QTY USO 2,197.80 4
USO 98.35 4 USO 102.79 5
Included USO 304.56 4 USO 5,591 .03 4
USO 1,485.00 USO 2,536.50
USO 158.63 USO 1,062.50 USD-1 ,062.50 USO 1,472 .63 USO 1,683.00
USO 148.50 4 USO 1,131.19 4 USO 1,831 .50 USO 1,131 .19
Included 3 USO 104.13 4
ICU TOTAL:
Total Net USO 8,791.20
USO 393.40 USO 513.95
USO 0.00 USO 1,218.24 USO 22,364.12
USO 1,485.00 USO 2,536.50
USO 158.63 USO 1,062.50 USO -1 ,062.50 USO 1,472.63 USO 1,683.00
USO 594.00 USO 4 ,524.76 USO 1,831 .50 USO 1,131 .19
USO 0.00 USO 416.52 USO 65,162.56
Recovery
Line Part Number #
57 121-001521-00
Description
N12 Monitor with Early Warning Score N12 Monitor-includes 5 year warranty , battery, 4 module slots , quick reference guide, line cord and 1 roll of paper
List Price
Net Price QTY
USO 8,105.00
USO 4,011 .98 2
Mindray OS USA, Inc. 800 MacArthur Blvd ., Mahwah , NJ 07430-0619 Tel: (201) 995-8000 Fax: (800) 266-9624
Total Net USO 8,023.96
Page 6 of 13
min dray
Line Part Number # 58 009-004787-00 59 115-062361-00 60 045-003427-00 61 121-001568-00
62 803-040049-00 63 803-040039-00
Description
List Price
Net Price QTY
5-Lead ECG Mobility Leadset, AHA, Pinch , 36" Compatible with TM80/TD60
N Series Combo Ops Manual
GCX M series 12"pivot arm with adapter
N1 Monitor with Masimo SET® Sp02, Arrhythmia analysis, 3/5/6-lead ECG, NIBP, two invasives , dual temperature, integrated battery, 2.4/5GHz wireless enabled Multiparameter Modules-include Masimo or Nellcor Sp02 adult reusable sensor, Masimo or Nellcor Sp02 cable, reusable adult NIBP cuff and hose , ECG 5 lead adult defib proof cable and ECG 5 lead snap 24" wire set , and MR420B adapter cable for YSI probe. All other accessories must be ordered separately.
N1/T1 Monitor installation and setup.
Device Certify & Install W/CABL
USO 155.00 Included
USO 480.00 USO 10,795.00
USD 117.00 USO 1,271 .00
USO 98.35 2 Included
USD 304.56 2 USO 5,343.53 2
USO 104.13 2 USD 1,131 .19 2
Recovery TOTAL:
Total Net USD 196.70
USO 0.00 USO 609.12 USO 10,687 .06
USO 208.26 USD 2,262.38 USO 21 ,987.48
Emergency
Line Part Number # 64 121-001522-00
65 121 -001586-00 66 009-004787-00 67 115-062361-00 68 045-003255-00 69 121 -001569-00
70 115-050935-00 71 803-040044-00
72 0992-00-0002-04 73 803-011963-00 74 803-011963-CRDT 75 121-001453-00 76 121 -001375-00
Description
N12 Monitor with Early Warning Score and 2.4/5GHz wireless N12 Monitor-includes 5 year warranty , battery, 4 module slots, quick reference guide, line cord and 1 roll of paper
Sidestream C02 module 1X (115-0491 34-00) with adulUpediatric accessory kit Sales BOM
5-Lead ECG Mobility Leadset, AHA, Pinch, 36" Compatible with TM80/TD60
N Series Combo Ops Manual
N12 rolling stand with quick release mount
N1 Monitor with Masimo SET® Sp02 , ST/ Arrhythmia analysis, 3/5/6-lead ECG, NIBP, two invasives, dual temperature, integrated battery, 2.4/5GHz wireless enabled Multiparameter Modules-include Masimo or Nellcor Sp02 adult reusable sensor, Masimo or Nellcor Sp02 cable, reusable adult NIBP cuff and hose , ECG 5 lead adult defib proof cable and ECG 5 lead snap 24" wire set , and MR420B adapter cable for YSI probe . All other accessories must be ordered separately.
BeneVision DMS Workstation, Mini PC
WorkStationNertical Server installation , cable and setup. Includes, installation and setup for one Workstation and up to three display screens. (Includes cable pulling)
OEM Uninterrupted power supply APCBR800
One year extended warranty for BeneVision DMS
Buying Group Warranty Credit
BeneVision DMS Widescreen Touch Display
BeneVision Workstation Server License
List Price USO 9,605.00
USO 3,700.00 USO 155.00 Included U S D 4 4 5 .00
USO 11 ,295.00
USO 3,000.00 USD 2,850.00
USD 186.00 USD 1,250.00
USD 0.00 USO 2,975.00 USD 3,400.00
Net Price QTY USO 4,754.48 2
USO 1,831 .50 2 USO 98.35 2 Included
USD 282.35 2 USO 5,591 .03 2
USD 1,485.00 USO 2,536.50
USD 158.63 USD 1,062.50 USD -1,062.50 USO 1,472.63 USD 1,683.00
Mindray DS USA, Inc. 800 MacArthur Blvd., Mahwah , NJ 07430-0619 Tel: (201) 995-8000 Fax: (800) 266-9624
Total Net USO 9,508.96
USD 3,663.00 USO 196.70 USD 0.00 USO 564 .70
USD 11 ,182.06
USD 1,485.00 USO 2,536.50
USO 158.63 USO 1,062.50 USD -1,062.50 USO 1,472.63 USO 1,683.00
Page 7 of 13
Line Part Number # 77 110-004115-00
78 121-001700-00
79 009-004782-00
80 115-034334-02
81 803-040050-00
82 023-001566-00 83 803-040039-00 84 CLIN-ED-
TRNG8HR
Description
BeneVision WorkStation Bed Licenses. Supports 4-32 beds
WiFi Telemetry Transmitter With Alarms (TM80) (includes 1 ea - 3 AA Battery Pack) , Compatible with both Masimo and Nellcor Pulse Oximetry. (Sp02)
5-Lead ECG Mobility Leadset, AHA, Snap, 24" Compatible with TM80rTD60
Operator's manual on CD for TD60, TM80 and BP10
Telepack installation and set up for TM80 and TD60 .
HP LaserJet Enterprise M608n Printer
Device Certify & Install W/CABL
8 Hours of Clinical Education scheduled Monday through Friday
min dray
List Price
Net Price QTY
Total Net
USO 300.00
USO 148.50 5
USO 742.50
USO 4,600.00
USO 2,277.00
USO 2,277.00
USO 135.00 USO 0.01
USO 88.25
USO 3,700.00 USO 1,271.00
Included
USO 85.66 USO 0.01
USO 78.54 3 USO 1,831 .50 USO 1,131 .19
included 3 Emergency TOTAL:
USO 85.66 USO 0.01
USO 235.62 USO 1,831 .50 USO 1,131.19
USO 0.00 USO 38,754.66
Mindray OS USA, Inc. 800 MacArthur Blvd ., Mahwah , NJ 07430-0619 Tel: (201) 995-8000 Fax: (800) 266-9624
Page 8 of 13
min dray
To:
Angela Mckinney
CUERO COMMUNITY
HOSPITAL
2550 NORTH ESPLANADE
(HSS)
CUERO, TX 77954
Affiliation: HIND
Sales Representative: Jason Mackey
Quote Number:
Q-36002
Proposal Date:
None
Phone: E-mail :
+1 3252126554 j .mackey@mindray.com
Affiliation Notes:
Payment Terms: Shipping Terms: Proposal Notes: Product Notes:
HPG Independents - HIND - (HealthTrust Pu rchasing Group) Patient Monitoring Contract# 500028 - Standard One Year-On Site Warranty for parts & labor on Passport Monitors, T1 Monitor, Gas Module & Central Stations. (Central Stations additional 1 year extended warranty). Standard Three Year Mail-In Warranty on Accutorr Monitors. N Series Monitors - Standard 5 year warranty. Ultrasound Contract #4954 M7, M9, TE5, TE? Ultrasound Machines & Transducers (Excluding 4D & TEE Transducers - Standard one year) have a standard five year warranty. DC8 Ultrasound Machine & DC8 Transducers - Standard 1 Year Warranty. DC8 Expert Ultrasound Machine & Transducers - Standard five year warranty. Resona? Ultrasound Machine & Transducers Standard 5 Year Warranty . Anesthesia Contract #4957 - Anesthesia Machines - Standard three year warranty. DEMO EQUIPMENT and ACCESSORIES (6 MONTHS ONLY)
Net 45
F.O.B. ORIGIN (CUSTOMER PAYS FREIGHT) "To ensure on-time delivery of your orders, Mindray may drop ship products directly from our overseas factories or distribution warehouses"
Biomedical training cred its issued to customers at the time of sale, are for the sole use of employees of the facility purchasing the equ ipment, and are non transferable.
Central Station - Hospitals, or buying groups, that require special containment procedures while opening plenum spaces including the use of a negative chamber tent system will be billed separately for the containment costs. These cost will include, but not be limited to, rental of a containment system, plus the add itional cost incurred by the cable installer and the Mindray Representative who are requ ired to use the system. This will also apply to any containment costs incurred after the installation for Mindray Representatives when performing maintenance on the system.
Trash Removal responsibility Mindray is not responsib le for the disposal of packing material associated with newly installed Mindray products. Mindray w ill work w ith the customer to collect and centralize the packing material for ease of disposal by the customers' personnel. The customer will be responsible for sorting and disposal of packing material.
De-Installation of existing cabling Mindray is not responsible for the de-installation of existing cabling associated with an existing patient monitoring system . Mindray will provide this service on a time and material basis in the event that the customer would like to have this work done by Mindray at the time of the installation . Customer will be responsible for pu lling of cable and certification, if these items are not charged on the body of this quote.
Fiber Optics Requirements
Mindray OS USA, Inc. 800 MacArthur Blvd. , Mahwah , NJ 07430-0619 Tel : (201 ) 995-8000 Fax: (800) 266-9624
Page 9 of 13
min dray
In the event that fiber optics network runs are necessary due to the location of the central rack, then it will be the customer's responsibility to add the necessary fiber optic run(s) . Mindray Technology service will provide this service on a T+M basis in the event that the customer would like to have this work done by Mindray.
Pricing for cable pull and certification is based on nonunion labor. If Union labor is required customer will be invoiced for any additional cost. Pricing for cablepull includes installation of cables above ceilings or any horizontal/vertical pathways and shall be supported per BISCI standards utilizing communications rated J-hooks. Pricing does not include major structural changes to go between walls or floors , e.g., penetration of interior or exterior cement walls or the installation of conduit/Raceway .
Core Drilling requirements In the event that core drilling (i.e drilling between floors to accommodate network runs) is required to complete an installation , the customer will be responsible for customary costs associated with this work. Mind ray Technology Services will provide this service on a T+M basis if requested by the customer. (Customary charges are approximately $450 each) Purchase order acceptance and delivery of Mindray Certified Refurbished products is subject to inventory availability.
Mindray OS USA, Inc. 800 MacArthur Blvd. , Mahwah, NJ 07430-0619 Tel : (201) 995-8000 Fax: (800) 266-9624
Page 10 of 13
Product Notes:
min dray
Please complete at time of purchase:
Uncrating Needed: YES I NO
Receiving Dock Hours: - - - - - - - - - - - - Lift Gate Required: YES I NO Inside Delivery Required : YES I NO
Debris Removal: YES I NO Prior Notification: YES I NO
Contact N a m e : - - - - - - - - - - - - - - - - -
Department:-----------------Contact Phone #(s) - - - - - - - - - - - - - E-mail Address(s) - - - - - - - - - - - - - - Purchase order acceptance and delivery of Mind ray Certified Refurbished products is subject to inventory availability.
This quotation contains no provisions for Biomedical training tuition or credits.
If your terms are Cash-in-advance, please remit check directly to: Mindray OS USA, Inc. 24312 Network Place, Chicago, IL 60673-1243
Mindray OS USA, Inc. 800 MacArthur Blvd ., Mahwah , NJ 07430-0619 Tel : (201) 995-8000 Fax: (800) 266-9624
Page 11 of 13
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Shared Servers
Department Name Shared Servers
Med Surg
Department Name Med Surg
Egateway
Department Name eGateway
ICU
Department Name ICU
Recovery
Department Name Recovery
Emergency
Department Name Emergency
Total Price By Department
List Price USO 70,151 .02
List Price USO 148,763.51
List Price USO 23,210 .00
List Price USO 124,094 .00
List Price USO 41,846.00
List Price USO 75,531.76
Departmental Discount US0 -18,524.40
Shared Servers TOTAL:
Departmental Discount USO -46,236.05
Med Surg TOTAL:
Departmental Discount USO -388.00
Egateway TOTAL:
Departmental Discount USO -58,931.44 ICU TOTAL:
Departmental Discount USO -19,858.52
Recovery TOTAL:
Departmental Discount US0 -36,777.1 0
Emergency TOTAL:
Total List Amount Total GPO Discount Total Additional Discount/Tradeln Total Net Amount
Quotation
Net Price USO 51,626 .62 USO 51,626.62
Net Price USO 102,527.46 USO 102 ,527.46
Net Price USO 22 ,822.00 USO 22 ,822.00
Net Price USO 65,1 62.56 U S 0 6 5,162 .56
Net Price USO 21,987.48 USO 21,987.48
Net Price USO 38, 754.66 USO 38,754.66
TOTAL: USO 302 ,880.78
USO 483,596.29 USO 180,715.51
USO 0.00 USO 302,880.78
Mindray OS USA, Inc. 800 MacArthur Blvd ., Mahwah, NJ 07430-0619 Tel: (201) 995-8000 Fax: (800) 266-9624
Page 12of13
Total Net Price For Purchase:
To:
Angela Mckinney
CUERO COMMUNITY
HOSPITAL
2550 NORTH ESPLANADE
(HSS)
CUERO, TX 77954
Affiliation: HIND
Title of Buyer
Purchase Order Number
IShip to Address IBill to Address
Date
min dray
USO 302,880.78
Sales Representative: Jason Mackey
Quote Number:
Q-36002
Proposal Date:
None
Phone: E-mail:
+1 3252126554 j .mackey@mindray .com
Printed Name of the Buyer
Signature of the Buyer
We have selected a non-Masimo Sp02 technology and have requested a proposal using an alternate Sp02 technology.
Although we have been educated on the Masmio Sp02 option by Mindray, we have independently chosen the alternate Sp02 option based upon our business needs.
Signature of b u y e r - - - - - - - - - - - - - - - - - - - - -
Mindray North America now has a $150 minimum order policy. Unless otherwise stated, the total net price of this quotation does not include, freight or sales tax.
Mindray DS USA, Inc. 800 MacArthur Blvd. , Mahwah, NJ 07430-0619 Tel : (201) 995-8000 Fax: (800) 266-9624
Page 13of13
BeneVision N12/N15/N17
Features and Benefits · 12''. 15" and 18.5" high definition
capacitive touchscreen displays, featuring platform-wide, intuitive user interface
· Features Nl Monitor/Module as a multi-parameter module and wireless transport solution
· Standard features include 3, 5, 6-lead ECG, Masimo SET· Sp02, 2 IBP, NIBP, respiration, temperature and arrhythmia analysis with QT/ QTc interval monitoring and atrial fibrillation (Afib) detection
· Optional ST-segment monitoring
· Mindray CAAs include SepsisSightTM, HemoSightTM, Early Warning Score, Glasgow Coma Scale, and 24-Hour ECG Report
· Extensive data storage capab ility for trend data, alarms, events, and 48 hours of full disclosure
· Available 12-lead ECG interpretation with report storage, providing immediate access for up to twenty reports at POC
· Optional Benelink'M Module for ventilator, anesthesia machine and IV pump data integration
· Integrates with BeneVisionTMOMS hardwire or optional 2.4/5 GHz wireless capability
· Compatible with Mindray eGateway for HL7 communication to EMR
· Optional Multi-gas Module, NMT, and INVOS rS02 for OR application
· Optional JADAK 20 barcode scanner and remote control
PATIENT MONITORS
,____ _ __
Flexible. Consistent. Comprehensive
The BeneVision N12, N15, and N17 patient monitors empower healthcare providers by offerin g a premier solution to satisfy patient monitoring needs across diverse care settings. With a platform-wide modular design, expansive parameter options, and specialized Clinical Assistance Applications (CAAs), the N12, N15 and N17 patient monitors support clinical excellence and align nicely with organizational cost of ownership goals. Designed with the end-user in mind, all N-Series models feature multi-gesture, capacitive touchscreen technology that works like a smartphone and incorporates a surprisingly new level of ease and speed into your workflow. Auto-brightness detection for increased contrast, paired with an unprecedented wide viewing angle, improve visibility of critical data at the bedside. Compatible with the BeneVision Distributed Monitoring System (OMS), and sharing the same intuitive user interface, the N12, N15, N17 can blend easily into your existing IT infrastructure, making the most of your existing capital investment.
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BeneVision N12/N15/N17 PATIENT MONITORS
A user interface to put your mind at ease
Using the same capacitive touchscreen technology as smart devices, the N-Series user interface enables clinicians to work with a refreshing level of ease. Purposefully designed with a flat user interface, N-Series monitors enable 90% of common operations to be performed in just two steps, reducing both workflow complexities and required training time.
Tap
Flick
Drag
Swipe
Easily toggle between 2 user con figured ma m screen displays, with j ust one swipe
N-Series User Highlights:
· All N-Series patient monitors feature the same user interface so your time-to-train is significantly reduced per clinical FTE. To know one N-Series mon itor is to know them all!
· Increase waveforms as your screen size grows - 8 waveforms with N12, 10 waveforms with NlS, 12 waveforms with N17
· Configure up to 24 quick keys to best suit your care area and practice models
· Advanced patient viewing capability incorporates Bed-to-Bed and Alarm Watch modes
· Manufactured with Eastman disinfectant-resistant polymers, providing
-
exceptional res istance to deterioration over the life span of the monitors and modules
N1 at the Core
Serving as both monitor and module, the adaptable Nl provides, continuous monitoring throughout a healthcare facility. Seamlessly integrating into the hospital IT environment, the N1 is a multi-parameter module within the N12, N15, and N17; when removed, it instantly converts to a wireless transport monitor, ensuring a gap-free patient record, from admittance through discharge.
Mindray North America 800 MacArthur Blvd .. Mahwah, NJ 07 430
Tel: 800.288.212 1 Tel : 201 .995.8000 Fax: 800.926.4275 www.mindray.com
M1ndray· is a registered trademark of Shenzhen M1ndray Bio--Medlcal Electronics Co., ltd. All brands an d product names are trademarks of their respective owners. 02019 Ml ndray OS USA, Inc. Subject to change. 03/19 P/N: 0002-08-8 107 Rev A
Shared parameter m odules, accessories, and co mmon mounting options provide flexibility across the N-Series platform
Features and Benefits
· 3.5" color touchscreen LCD
· Gesture-driven for fast, intuitive operation, just like your smart device
· Compact and lightweight - just 7.4 oz (210 g) with batteries and ECG lead set
· Waterproof rated IPX7
· Certified rugged, passing 1.5 m hard surface drop test
· Clear, easy to read HR, respiration, and SpO, numerics
· ECG, respiration, and SpO, waveforms at the patient
· Multi-vector arrhythmia analysis with atrial fibrillation detection, continuous ST analysis, and continuous QT/QTc monitoring at BeneVision OMS
· Supports 3/5/6-lead ECG lead sets, both reusable and single patient use, for infection control
· Features Masimo"' SpO, (optional)
· Non-invasive blood pressure provided by patient-worn BP10 (optional); measurements sent to BeneVision OMS via wireless pairing with TM80
· Operates in 802.11 n dual band
· Supports "Find myTelepack" capability with BeneVision OMS
· Flexible power choices include 3 AA or rechargeable lithium-ion battery packs
· Battery charger (optional) for TM80 and TD60
· Run time up to 36 hours
BeneVision TMSO
DISPl AY If-' EMt1RY TRANSMITTER
-
Ambulatory monitoring to support your workflow
The BeneVision TM80 Display Telemetry Transmitter offers advanced technology for early detection of an ambulatory patient's changing condition. The 3.5" color display shows ECG, respiration, and Sp02 waveforms with associated numerics. Touchscreen technology using intuitive gestures provides access to critical information. Rugged and reliable, TM80 meets the 1.5 meter drop test and is IPX7 waterproof rated. Power options include a rechargeable lithium ion battery pack that provides impressive runtime on a single charge, serving clinicians well in high occupancy care areas. With the BP10 NIBP Module, easily flex your monitoring capability for a specific patient by adding blood pressure monitoring; BP10 wirelessly pairs to TM80, sending data to BeneVision OMS and the EMR. TM80 leverages standard Wi-Fi technologies to provide an expanded number of devices within large coverage areas. BeneVision TM80 - powerful, flexible and connected to meet the ambulatory monitoring needs across your healthcare organization.
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BeneVision TMSO DISPlAY TFLEMETRY TRANSMITTFR
Easy operation with intuitive gestures
TM80
3.5" t ouchscreen 480 x 320 pixel s
Tap - to select a fun ction or select a parameter to configure
Drag - from the top to toggle between landscape and portrait modes
- from the bottom to access configured Quick Keys
Flick - t o scroll th ro ugh wavefo rms, numerics, and menus
. a
!
Fast access to clinical information
View additional QRS complexes using landscape mode
Optional NIBP Modu le
Main Screen is configurable based upon preference
Qu ick Keys provi de access to com mon funct ions
Lead Placement tool aids troubleshooting, indicating missing or loose electrodes
Up to seven ECG waveforms can be viewed with a flick of the display
Mindray North America 800 MacArthur Blvd., Mahwah, NJ 07430 Tel: 800.288.2121 Tel: 201 .995.8000 Fax: 800.926.4275
www.mi nd ray.com
C 2018 Mfndray OS USA, Inc M1ndray" is a registered trademark of Shen zhen Mindray B10-Med1cal Electron ics Co.. ltd All rights reserved All brands and product names are trademarks of thetr respective owners. 07/18 P/N: 0002·08-37046 Rev B
BeneVision BP1 Oprovides non-invasive blood pressure measurement. BP10 wirelessly pairs to TM80, sending data through to BeneVision OMS and the EMR.
AGENDA ITEM #8
Capital Expenditure Request for IT Servers/Network/Backup Solutions - Review and Take Appropriate Action
Proposals Attached:
Edge Pivot
$273,420.94 Recommended $309,275.48
2020 06 25
Cuero Regional Hospital
CAPITAL EXPENDITURE REQUEST
I HOSPITAL/ENTITY
I?
.. C,11P..ro ·Qo }..,.,....,..
MT . DEPARTMENT
_<\
v
~.rou I
Is the requested purchase in compliance with the Healthtrust GPO?
_, DATE PR(;ARES? -~
PROJECT NAME D E PROJECT DESCRIPTION
DESIRED DELIVERY/START DATE Network Remediation - Implement Backup Solution for Disaster Recover·
PURPOSE FOR REQUEST
s Optimize security, compliance, backups of data, position for Disaster Recovery c and implementation costs, and training
New Service
D
Replacement
0
R I JUSTIFICATION
Code Compliance
D
lmplementating consistent backup solution for both Meditech data and other appl ications.
p
Addressing rention needs of data and well positioned for disaster recovery practices
T BUDGET REFERENCE
Amount Budgeted
I BUDGET LINE ITEM IF NOT BUDGETED, WHY IS IT NEEDED AT THIS TIME?
2M
0
N F EQUIPMENT/PROJECT COSTS I
Attach copies of proposals
Bid #1
Bid #2
Bid #3
ASSET DISPOSITION DATA Description of Disposed Assets:
N
Name of Bidder
Edge
Pivot
A Land and/or Acqu isition
N Construction/Implement
c Equipment
I TOTAL COSTS
A
Less Trade In
$10,000.00 $16,640.00 $263,420.94 $292,635.48 $273,420.94 $309,275.48
BOOK VALUE OF DISPOSED ASSET
I
METHOD OF
Trade In
D
DISPOSITION
Sale
D
Abandonment
D
L NET CAPITAL REQUIRED
RECOMMENDATION (Check one)
0
D
n
A
u DEPARTMENT HEAD
T
H
0
R SLT LEADER
I
z
~ /J0d'~. ~A~
A
T CHIEF EXECUTIVE OFFICER or CHIEF FINANCIAL OFFICER
I
0
N
;:::::::
= =
ili8/tUJ
Board Member Signature if greater than $5,000
DATE : DATE : DATE : DATE :
June 10, 2020
EDGE
SOLUTIONS l CONSULT ING
CRH.061020.001.R2
Attn: lsmelda Garza Cuero Regional Hospital 2550 N. Esplanade Cuero, TX 77954
Project Name: Ent & MT Backup Solution
Thank you for giving Edge Solutions and Consulting (EDGE) the opportunity to propose a solution to address Cuero Regional Hospital's (CRH's) Enterprise environment and Meditech back-up requirements. Our proposal includes the following:
· Commvault Backup & Recovery appliance · Netapp E2812 backup target (usable capacity- 94.42 TiBs) · Redundant Cisco fiber channel switches and redunndant Cisco top-of-rack
1OG switches · EDGE Professional Services
The Commvault Backup & Recovery appliance is a Commvault approved HPE server platform (comes with 3 years of HP HW support) equipped with a 1-year subscription and support of Commvault Backup & Recovery software. This also include five days of Commvault professional services, and Commvault training.
The proposed Netapp E2812 backup storage includes three, 2U rack units equipped with a total of 36x4TB SAS drives to support 94.4TBs of usable capacity, Netapp's Base Software and 3 years of 24x7x4 support.
To support fiber channel connectivity, the proposal includes two small, 1U Cisco fiber channel switches. Each switch is configured with 24 active ports (up to 16G Fiber Channel) and have the ability to expand to 48 ports if needed. Each switch includes Cisco 24x7x4 support. For network connectivity, we have included two small, 1U, 48-port capable Cisco 9500 top-of-rack switches with required redundant 1OG ports and 1G management switch ports for the current design.
This proposal also includes one week of EDGE professional services to perform onsite implementation of the proposed solution.
Confidential
Page 1
6/ 12/20
EDGE
SOLUTIONS l CONSULTING
Please see the following page for pricing and additional description details. Should you have any questions or need any additional information, please feel free to call me at (818) 645-6705.
Sincerely, Sean Thomas Edge Solutions and Consulting 818.645.6705 (mobile)
Confidential
Page 2
6/12/20
EDGE
From: ESC 2801 Townsgate Rd . #111 Wcsdake Village , CA 91361 Phone: (818)-59 1-3500
Estimate for: Cuero Regional Hospital lsmclda Garza 2550 N. E..planadc Cuero, TX 77954
Valid Until: 7/ 10/20 62950 6/ 10/20
Quote no. CRH.061020.00l .R2
Quote from: Scan Thomas 818-645-6750
()t\ . 2
1'.111 '\umhl·r MOs-91485
2
C9500-48P
1
E281HIU
1
COMM-APP
1
PS-{lS-SMALL
40
ED-lR-UNIT
1
ESS-PS-lW
lh,t..·1111llon
Osco Fiber Channel Switch, 48, 16G Fiber Channel ports, Enterprise Pacl<age, 3 years 24x7X'I support.
\ l'ndut CISCO
catalyst 9500 Networl< Switch, 48-ports capable (not al active), 14x10G and 9x1G (copper) active, 3 vears 24x7x4 suooort. NetApp E2812 storage array and 2 expansion
CISCO NETAPP
drawers equipped with 36x4T8 SAS drvies (94.42
TiBs usable), Data at Rest Encryption capable
Operating Sys, Base Software Suppart and 3 years
~ 24x7x4 support.
HPE Ol360 Server with 3 years of HPE Suppart and Commvault Backup&. Recovery, Per FrontEnd T8 (40T8s), 1 year Subscription.
COMMVAULT & HPE
Commvault SmaA Tier QuickStart is a packaged lime and Materials implementation and configuration service to be delivered over 5 contiguous days.
COMMVAULT
Commvautt Training Unit. Use toward any Erlucation Services ILT, vILT, or WBT courses°' ctrerings, including onsites (24 per day, up to 12 students, minimum 2 days).
COMMVAULT
'°' 1 week c:I EDGE Professional Services for
implementation ~ solution - T&E one trip included. EDGE may charge ThE Wadditional trips are required.
EDGE
l\)Jl'
HW
I 1-.1 Priu·
l.'.\.kntlcd Li-.t
$26,036.00 $
52,072.00
1>1-.Lounl 24.48%
HW
$62,950.00 $
125,900.00
50.61%
HW
$72,368.82 $
72,368.82
56.19%
HW
$137,325.00 $
137,325.00
22 . 50%
S<IC
$
15,850.00 $
15,850.00
8.00%
S<IC
$
250.00 $
10,000.00
8.00%
SVC
$
12,500.00 $
12,500.00
20%
$
0%
I.inc .\ mount $39,325.24
$62,183 .48
$31,708.13
$106,422.09 $ 1 4, 5 8 2. 00
$9,200.00
$
10,000.00
$
-
Discounted Price Freigh1 Estimated Sale Taxes (@825%) · ....CRH is Tax ExemDl···· Total Price:
Total List Price Hardware Price w/discoulll Software Price w/discounJ &rvices
$
426,0JS.8'
$
239,638.9<
$
$
33,782.00
$ $ $
-- 273,420.94
s 273 420.94
Notes:
Indud6 four SFPs at no charge for installing into CRH's exisitng core network switches. The four SFPs to be used f()( uplinks parts In the top-of-rack C950()48P switches are lndluded in the line Item f()( the C9Sll0-48Ps.
Sh ip To:
Attn: Ismelda Garu, (361) 275-0502, igarza@cuerohospital."'I Cuero Regional Hospital 2550 N. Esplanade Cuero, TX 77954
Agreement to purchase: I am autllorized to sign tills document and my signature below Indicates my autllorization for Edge Solutions & Consulting Inc. to order tile items specified herein.
Approver Signature: Approver Name (Printed):
Tiiie:
Date :
Payment Terms:
Net 30 invoiced upon delivery
Thank yau for your business!
We Build IT - We Implement IT - We Support IT
.,.
Pl~roT
Pivot Technology Services Corp. 607 E. Sonterra Blvd Ste 250 San Antonio, TX 78258 Phone: 210-348-9876 Fax: 210-348-9124
Quotation
Date
Quot.--#
Cust#
06108120
SSIQ78327-01
Sold To:
lsmelda Garza Cuero Regional Hospital (361) 275-6191 igarza@cuerohospital.org
ShlpJ".o: ___~---
lsmelda Garza Cuero Regional Hospital (361) 275-6191 igarza@cuerohospital .org
--
-
_ _Sales Representative:
Michael Busch
Account Executive
michael. busch@pivotts.com
210-572-1288
.. r~~.
·= ;...... r;._ --·; ,
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~- ~-
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-
-·-· -~"-~·-··-· ~----~--
-~~
.., '" ~--
--
Item# Part#
Description
Qty
- Unit Price _.-, ·... -Ext. Pri~ ]
I CN-CV-1372-31
I 2
CN-CVS-SAS
3
CN-STD-RS
Subscription Software & Hardware Appliance Bundle
I COMMVAULT HYPERSCALE APPLIANCE - 43 TB USABLE - PER UNIT, MONTHLY RATE ,
SUBSCRIPTION - 3 YEAR , UPFRONT PAYMENT
I
Software
I COMMVAULT HYPERSCALE APPLIANCE SAS HBA CARD : (ADD-ON) PER CARD
COMMVAULT HYPERSCALE APPLIANCE RACK AND STACK SERVICE (ADD-ON )
I
I I 1 $147. 777.84
$147 ,777.84
1
1 I
$388.89 1 $816.67
$388 .89 $8 16.67
4 I CN-OSS-4X4-24X7-31 5 I CV-BR-FT-31
6 I ED-TR-UNIT
I 7
IC-CONSDEP
Subscription Software
I COMMVAULT HYPERSCALE APPLIANCE ON-SITE SERVICE - 04 HOURS RESPONSE
I
TIME , 24X7 (ADD-ON): 3-YEARS
I COMMVAULT COMPLETE BACKUP & RECOVERY - PER FRONT-END TB
I
Training
I I COMMVAULT TRAINING UNIT. USE TOWARD ANY EDUCATION SERVICES ILT, VILT, OR WBT COURSES OR OFFERINGS , INCLUDING ONSITES (24 PER DAY, UP TO 12 STUDENTS, MINIMUM 2 DAYS). Consulting Services
I COMMVAULTCONSULTING SERVICES. REQUIRES CORRESPONDING QUANTITY OF
FXTRVL-CONS FOR SERVICE TO BE DELIVERED ONSITE.
I
1 I 20 I
I $3.112.16 I $4 .10 4 .o o
40 I
I $250.00
4
I
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$3 ,772.16 $94 ,080.00 $10 ,000 .00
$10 ,000 .00
06108120
CONFIDENTIAL
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Pivot Technology Services Corp. 607 E. Sonterra Blvd Ste 250 San Antonio, TX 78258
Phone: 210-348-9876 Fax: 210-348-9124
Part#
I 8
IC-CONSPM
Descri~tion
I COMMVAULT PROJECT MANAGEMENT SERVICES - PRICE PER HOUR
9
N3K-C3524P-1 OGX
10
CON-SNT-3524P10X
11
N3548-24P-LIC
12
N3K-C3064-ACC- KIT
13
NXA-FAN-30CFM-F
14
NXOS-9.2.2
15
N3548-BAS 1K9
16
N2200-PAC-400W
17
CAB-C13-C14-2M
Nexus 3524x, 24 1OG Ports SNTC-8X5XNBD Nexus 3524x, 24 10G Nexus 3524 Factory Installed 24 port license Nexus 3K/9K Fixed Accessory Kit Nexus 2K/3K/9K Single Fan, port side exhaust airflow Nexus 9500, 9300, 3000 Base NX-OS Software Rel 9.2.2 Nexus 3500 Base License N2K/N3K AC Power Supply, Std airflow (port side exhaust) Power Cord Jumper, C13-C14 Connectors, 2 Meter Length
18
GLC-TE=
19
SFP-10G-SR=
20
SFP-H 1OGB-CU3M=
1000BASE-T SFP transceiver module for Category 5 copper wire 10GBASE-SR SFP Module 10GBASE-CU SFP+ Cable 3 Meter
06108120
CONFIDENTIAL
Quotation
Date
06/08/20
Quote#
SSIQ78327-01
Cust#
Qty
Unit Price
I 6 I I $225.oo
Ext. Price
$1 ,350.00
2
$6 ,470 .59
$12,941 .18
2
$2 , 171.40
$4 ,342 .80
2
$0.00
$0.00
2
$0.00
$0.00
8
$0 .00
$0 .00
2
$0.00
$0 .00
2
$0.00
$0 .00
4
$0 .00
$0 .00
4
$0.00
$0.00
6
$277.06
8
$607 .06
10
$64.71
Sub Total Estimated Shipping Estimated Sales Tax
Total
$1,662.36 $4,856.48
$647 . 10
$292 ,635.48 $0.00 $0.00
$292,635.48
Page 2 of 3 2 of 3
Quote#
SSIQ78327-01
Accepted by:
Date:
PO:~~~~~~~~-
This quote is governed by the written agreement executed between the parties for the purchase of products and services. If no such agreement has been signed , then you agree that by authorizing an order for products and/or services , you are bound by the Standard Terms and Conditions located at https://www.pivotts .com/legal/standard-terms-and-conditions-of-sale, If you object to these terms, you must notify us within ten (10) days of receipt of this form.
Texas DIR Customers Please Note
If your Order is being placed pursuant to a Texas DIR Contract, your Order is subject to the Terms and Conditions of that Contract and the above Terms and Conditions do not apply to your Order. Please refer to the specific DIR Contract(s) covering the Products on this Quote for further details.
06/08/20
CONFIDENTIAL
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Pl ~roT
Advisory CTO - Block of Hours Statement of Work No. SAN-0983a
By and Between Cuero Regional Hospital
2550 N. Esplanade St. Cuero, TX 77954 And
Pivot Technology Services Corp. 607 E Sonterra Blvd, Ste 250 San Antonio, TX 78258 (210) 348-9876 Submiss ion Date : 6/9/2020
CONFIDENTIAL & PROPRIETARY Valid for thirty (30) days from submission date
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Pl ~roT
Cuero Regional Hospital SOW for Advisory CTO - Block of Hours
Th is SOW is subject to the applicable terms posted at http://www.pivotts.com/legal ("Terms and Conditions"), which are hereby incorporated into this SOW by reference . In the event of a conflict between the Terms and Conditions and this SOW, the Terms and Conditions shall control unless the parties expressly agree in writing to deviations which are explicitly stated to supersede the Terms and Conditions.
EXECUTIVE SUMMARY
PROJECT OVERVIEW
Cuero Regional Hospital (" Customer'' ) hereby engages Pivot Technology Services Corp. (" Pivot" ) to perform the services specified herein (the "Services" ).
TECHNICAL SUMMARY
Pivot will provide remote and/or onsite consulting and management services to support the Customer's technical environment on an as-requested basis. Support will be scheduled based on the availability of a qualified Pivot engineer.
BLOCK OF HOURS TERMS
The following points define how the block of hours will be used.
o The hours will be paid for in advance. o The hours purchased and this agreement will expire 12 months from the date ofthe
executed agreement. o Unused hours are not refundable. o M inimum increment for on -site support is 8 hours. Minimum increment for remote
support is 1 hour. o Work scheduled in advanced and cancelled within 48 hours will be charged at the
regular time rate. o Customer may schedule a Pivot resource for services by sending an email to
PSOperations@pivotts.com. o Response time to a service request will be best effort.
SUMMARY OF DELIVERABLES PROVIDED
There are no deliverables associated with this engagement
SAN -0983a
©2020 Pivot Technology ServicesCorp. - Confidential
Page 2
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PI YOT
Cuero Regional Hospita l SOW for Advisory CTO - Block of Hours
GENERAL INFORMATION
The Professional Services may be performed on the Customer equipment located at the Customer sites (the " Customer Site" ) specified below:
· 2550 N. Esplanade St. Cuero, TX 77954
ASSUMPTIONS
In order to identify and estimate the required tasks and timing for this engagement, certain assumptions need to be made. Based on our current knowledge, the engagement assumptions are identified in the following sections: "General Project Assumptions". If an assumption is invalidated at a later date, then the activities and estimates in the engagement plan should be adjusted accordingly.
GENERAL PROJECT ASSUMPTIONS
· Customer will appoint a project sponsor to oversee the direction of this project. The appointed project sponsor will have decision-making authority over all aspects of the project, including facilitating commitment of Customer resources and employees, decisions regarding scope management, and issue or conflict resolution.
· Customer understands the success ofthis project is dependent on the participation of Customer employees : attending facilitated workshops, sharing information, and collecting data as needed to support project activities. Customer understands the need to review interim and final deliverables and report acceptance or discrepancy to Supplier accord ing to the project schedule set forth at the project kickoff.
· Customer will provide adequate, co-located workspace for the engagement participants (both Supplier and Customer resources) with the appropriate system level access.
· Customer will provide network connectivity and Internet access to Supplier as needed . · Customer will provide elevated network and system credentials prior to arrival. · Any service, process, product or procedure that is not explicitly and clearly stated in this
SOW is outside the scope of the Project. · This SOW is based on discussions with the Customer and does not take into account any
changes to the environment made by the Customer or any th ird parties since its writing. If a significant change has occurred during this period, a Change Order may be required . · All Pivot work is based on a (40) hours per week work schedule . Work will be performed during standard business hours, Monday through Friday, 8:30 am - 5:30 pm unless otherwise mutually agreed upon between Pivot and the Customer. · Any non-standard hours that is requ ired and not documented in this SOW will require a Change Order.
SAN-0983a
©2020 PivotTechnology Services Corp. - Confidential
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FEES AND EXPENSES
Cuero Regional Hospital SOW for Advisory CTO - Block of Hours
BILLING NOTES
· Pivot will invoice Customer in full upon receipt of a signed SOW · Each hour used will be accounted at the regular rate indicated below. · Remote support performed between 6:00am and 10:00pm on weekdays will be tracked at
the regular rate. · Customer may purchase additional hours by executing a change order to increase the block
of hours.
SERVICES BILLING
Work Description Block of Hours
Qty
Amount
80
$16,640.00
EXPENSE BILLING
· Engagement pricing does not include travel expenses. · Pivot will bill actual travel expenses for airfare, car rental, hotel and meals if consultant is
located outside the Cuero, TX area . Pivot will make every effort to use a local consultant.
SAN-0983a
©2020 Pivot Technology Services Corp. - Confidential
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Cuero Regional Hospital SOW for Advisory CTO - Block of Hours
AUTHORIZATION AND ACCEPTANCE
By signing below, both Supplier agree to the Terms and Conditions of this SOW.
Pivot Technology Services Corp.
Cuero Regional Hospital
Signature:
Signature:
~~~~~~~~~~~~~~~-
-~~~~~~~~~~~~~~~
Name:
Name:
Title:
Title:
Date:
Date:
Upon execution, please submit signed document to PSOperations@pivotts.com
SAN-0983a
©2020 PivotTechnology Services Corp. - Confidential
Page 5
Budgeted - Total Network Improvements:
$2,000,000.00
Estimated Budget for Network Remediation Phase 1 & 2: $898,000.00
Core Network - equipment
233,839 .66
Core Network - Tech Refresh - Implementation
27,495.00
AD Assessment
7490.00
AD Remediation
14,295.00
Fiber Installation
28,351.00
Optic Transceivers
31,781.64
DMZ switches - Zone 4 & Zone 5
29,493 .68
IDF Migration and closet clean up - Implementation
22,052.00
Wireless Site Survey
18,930.00 Actual Cost: $ 413,727.98
Phase 1 & 2 is under Estimated Budget by 484,272.02
Under Budget: $ 1,586,272.02
Estimated Budget for Network Remediation Phase 3: $85,000.00 Implement Backup/Recovery Solution : Backup Appliance Backup Software, Server, Training Backup network connectivity Professional Services
Phase 3 is over Estimated Budget by 188,420.94
31,708.13
130,204.09
101,508.72
Actual Cost:
10,000.00 $273,420.94
Under Budget: $ 1,312,851.08
Items still need to be addressed: Wireless Network & Remote Sites VM servers cluster Patch & App Management
*Dollar amounts in green indicate in progress
Budgeted :
353,000.00
Budgeted:
675,000.00
- - - - - - - Budgeted :
Total Budgeted Items Remaining:
50,000.00 1,078,000.00
::::::;:::======
Anticipated: $ 234,851.08
Status: complete in progress - 80 % complete complete in progress - integrated w/core network complete complete complete in progress in progress
Status:
presenting to board 06/25/2020 presenting to board 06/25/2020 presenting to board 06/25/2020 presenting to board 06/25/2020
discovery planning/designing discovery
AGENDA ITEM #9
Board Resolution to Approve the Perinatal Program Plan for Maternal Designation Review and Take Appropriate Action
2020 06 25
CUERO REGIONAL HOSPITAL
Quality Care. Close to Horne.
TITLE: Perinatal Program Plan LAST REVIEWED/REVISED DATE: 11-17, 2-20, 6-20 CMS CONDITION OF PARTICIPATION:
DEPARTMENT: Childbirth Center APPROVED BY: Childbirth Ctr. Director
Family Centered Philosophy:
The care team in the Cuero Regional Hospital Childbirth Center recognizes the importance of families as partners in care. Our goal is to provide the most supportive and healing environment for our infants and families by upholding the principles of patient- and family-centered care. Encouraging family presence will be balanced with protecting the health and safety of our patients and staff. "Family" is to be defined by the parents of the infant to include any individuals of significant importance to them. The Childbirth Center is open and family presence is encouraged 24 hours a day. Families are encouraged to participate in the care of their infants. Care is designed to be sensitive to cultural diversity; a language line is available at all times when the primary language of the mother is not spoken by the healthcare provider. When separation of the family unit is needed by the requirement for interventions the entire healthcare team continues with communication and involvement with the family.
The Cuero Regional Hospital Childbirth Center has the capacity for 5 newborns and 5 pregnant or postpartum patients. If the need were to exceed the Perinatal Health Director and/or Medical Director would be consulted to evaluate available discharges. The Med/Surg and or ICU can be utilized for overflow.
Program Plan:
Cuero Regional Hospital Perinatal Program provides all aspects of perinatal care to all low risk patients and infants generally >35 weeks of gestational age who have routine, transient perinatal problems. The Perinatal Program is organized, effective, recognized by the Medical Staff and approved by the Board of Directors.
A physician with special competence in the care of obstetrics neonates whose credentials have been reviewed by the Perinatal Medical Director is on call 24/7 and able to arrive within 30 minutes of an urgent request. Care within the childbirth center is available throughout the stay.
Child birth classes are provided to the community and Health Fairs are attended to provide outreach to the community. In the event that a woman presents and requires a higher level of care or delivery prior to 35 wks gestation staff will anticipate that the patient, will be transferred to an accepting facility with appropriate expertise. In the event that a neonate presents < 35 weeks gestational age or with conditions which require specialized expertise or procedures which are not routinely available at a Level I nursery the infant will be stabilized and transferred to an accepting facility that has the expertise required. All cases requiring transfer out of CRH to a higher level of care are reviewed by the Perinatal Medical Director and documented in the QAPI Program. (See Transfer Hospital to Hospital policy).
The following are criteria for transport of a neonate out of CRH, to a higher level of care:
· <35week gestational age · Birth anomaly requiring surgery · Cardiac procedures · Neonatal Respirator · Needs beyond Level 1 care and capability
Perinatal services at Cuero Regional Hospital include on-site medical and surgical care for routine maternal conditions for pregnant women and fetuses through anteparturn, intrapartum, and post-partum. Care is provided by skilled personnel with documented training, competencies, and continuing education. The team is trained to respond to unanticipated maternal/fetal problems that occur during labor and delivery. An emergency cesarean delivery can be performed within 30 minutes. Maternity patients at < 35 week gestational age with anticipated delivery are transferred to a higher level of care as safe and permitted.
Standard of Practice:
Standards of practice are supported by policies and guidelines that are established by Cuero Regional hospital as well as unit specific policy and guidelines that are related to perinatal care. These practice standards are based on the following established organizations but not limited to:
· National Association of Perinatal Nurses · Guidelines for Perinatal Care · Association of Women' s Health, Obstetrics, Perinatal Nurses · Perinatal Resuscitation Program · Academy of Perinatal Nurses · American Academy of Pediatrics · Texas Nursing Practices Act · American College of Obstetricians and Gynecologist · ANA Code of Ethics for Nurses
All policies and guidelines are established using evidence-based practice. The hospital-based policies are established by the Perinatal Directors reports to the Chief Nursing Officer Senior Leadership, Medical Staff, and Governing Board. The unit specific policies and guidelines are established and maintained by the unit's Perinatal Director. All policies and guideline are reviewed at least every 3 years and approved by the unit Director, the Chief Nursing Officer and the Perinatal Medical Director.
Services :
The Cuero Childbirth Center provides care for low risk pregnant women and infants generally >35 weeks gestation age who have routine, transient perinatal problems. Infants and mothers with complications beyond our service capabilities are transported to an accepting facility for a higher level of care. The immediate and ancillary personnel needed to provide supportive care to the infant and family includes but are not limited to:
· Perinatal Medical Director
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· Physicians · Registered Nurses · Licensed Vocational Nurse · Nurse Assistants · Dietary · Operations Manager · Respiratory Therapy · Pharmacy · Case Manager · Laboratory · Anesthesia
Services provided include but not limited to fetal monitoring, IV therapy, telemetry, ultrasound, x-ray, respiratory therapy. Tele-cardiology and tele-psyche are also available.
Medical Staff:
All nursing, medical and ancillary staff should maintain continuing education annually.
1. Physicians-A Current Texas License, NRP 2. Registered Nurse-A current Texas RN licensure, BLS, NRP 3. New Nurse Hire Plan-the goal for the Cuero Regional Hospital is to provide a cohesive
onboarding process for new nursing hires to facilitate the progression into the professional Perinatal Nurses role. 4. Annual Competency: The application of knowledge and skills are required for the performance of professional Perinatal Nursing care according to established standards of care. The focus of annual education is based on the verification of competency of knowledge and skills in areas of high priority due to new initiatives, changes in policy and procedure, high-risk job functions, or gaps in clinical education. The Perinatal medical staff will participate in ongoing staff and team based education and training in the care of the perinatal patients.
Minimal requirements for nurses to care for Perinatal patients include a Texas LVN license and basic life support certification. All LVNs are directly supervised by an RN. Neonatal Resuscitation Program certification is required within 6 months of hire. Orientation includes clinical training at the bedside with an experienced nurse preceptor and validation of initial childbirth center competencies. Duration of orientation is individualized, based on prior experience.
On an ongoing basis, in-services are provided on new equipment, products, policies, procedures and processes. Annually, childbirth Center is required to complete selected competencies. Selected competencies for annual validation are those that are high risk, low volume, as well as needs identified by Childbirth Center staff and those identified through the QAPI program. These annual competencies incorporate hands-on and critical thinking skills, and discussion with subject matter experts from the entire multidisciplinary team.
3
Follow-up of Neonates Post-Discharge:
At the onset of discharge planning, the care team for Cuero Regional Hospital Child Birth Center ensures that follow up with a primary care physician is arranged. Specifically, the staff confirms that the infant has a primary care physician identified, and that the contact information of this physician is known to the parents. Ideally, an appointment is arranged before the patient is discharged. If applicable, contact information and/or appointments with subspecialist physicians are given to the parents at the time of discharge.
For infants with risk factors for hearing loss, and for those infants who did not pass the hearing screen, a follow up hearing screen and/or a referral for evaluation is completed.
Nutrition Support:
A dietitian is on site 8 hours a month, and is available per phone for consult as needed. All patients are screened and assessed within 24 hours of admission.
Lactation Support:
Cuero Regional Hospital Childbirth Center staff actively supports and promotes human milk as the optimal nutrition for all infants. The Cuero Regional Hospital health care team provides education about the benefits of breast milk and encourages for the mothers to provide breast milk throughout the infants stay or for as long as possible. Staff receives training during orientation as well as on line through DSHS, WIC. The Newborn Channel and Written Literature are also available for education. It is the goal of Cuero Regional Hospital Child Birth Center to assist mothers in making an informed decision, help them establish and maintain their milk production, prepare them for discharge, and the appropriate follow-up.
Respiratory Therapy:
A Respiratory Therapist (RT) with experience and specialized training is in-house 24/7.
Quality Assessment and Performance Improvement Plan (QAPI):
The purpose of perinatal QAPI is to provide a forum for discussion of issues and ideas related to improvement to care and services provided to neonates and their families.
· Provide evidence-based practices to ensure safe and effective patient care. · Facilitate and encourage quality improvement (QI) initiatives that need intervention
for all those involved in perinatal care. · Ensure that care provide is respectful of and responsive to individual patient
preferences, needs and values, and ensuring that patient values guide all the clinical decisions. · Evaluate efficient and equitable care. · Establish ongoing QI metrics that will be measured, analyzed and tracked for improvement and outcomes. · Provide feedback to Cuero Regional Hospital leadership regarding perinatal QI status and opportunities for improvement on initiatives brought to committee' s attention.
4
The committee will be comprised of personnel directly involved in perinatal care. The group may include but is not limited to perinatal nurse, practitioners, and pharmacist. The Perinatal Program Manager and Medical Director of the unit will be a permanent member. Members may provide input of agenda planning. The perinatal program evaluates the provision of perinatal care on an ongoing basis, identifies opportunities for improvement, develops and implements improvement plans, and evaluates the implementation until a resolution is achieved. The perinatal program measures, analyzes, and tracks quality indicators or other aspects of performance that the facility adopts or develops that reflect processes of care and are outcome based. The committee's activities will be congruent with Cuero Regional Hospital bylaws. Pharmacy Services: A Pharmacist is on call for consultation on a 24 hour basis. All pharmacists receive basic pediatric and perinatal pharmacology education as part of their initial, and ongoing education. A pediatric/ perinatal competency review is completed annually. All pharmacists involved in processing pediatric orders receive training that covers pediatric, perinatal, and perinatal orders. This training includes evaluating the order according to the patient' s age (including gestational age), weight and disease process. No medications are compounded in the pharmacy. Nurses that compound drugs and administer to infants have annual credentialing and drug competencies. Radiology:
1. Radiology services incorporate the "As Low as Reasonably achievable" principle when obtaining imaging in perinatal patients.
2. Personnel appropriately trained in the use of x-ray equipment are on-site and available at all times. 3. Personnel appropriately trained in the following are also available as follows:
· Ultrasound M-F 7a-5p and on call otherwise. · Computed tomography-onsite at all times · Magnetic resonance imaging M-F 8am-5pm 4. Perinatal diagnostic imaging studies are available at all times with interpretation by radiologists, available within 45 minutes of an urgent request. 5. A portable ultrasound machine is readily available and located in the Emergency Room for easy access.
5
CUERO REGIONAL HOSPITAL
Quality Care. Close to Home.
Lynn Falcone, CEO
Board of Directors: Dr. John Frels
Charles W. Papacek Cindy Sheppard Carlyle Stakes Richard Wheeler
2550 N. Esplanade · Cuero, Texas 77954 (361) 275-6191 · Fax (361) 275-3999 · www.cuerohospital.org
RESOLUTION OF SUPPORT OF HOSPITAL BOARD
WHEREAS, Cuero Regional Hospital recognizes the importance of families as partners in care, our goal is to provide the most supportive and healing environment for our families by upholding the principles of patient- and family-centered care; and
WHEREAS, Cuero Regional Hospital through a specially trained, multidisciplinary team of health care professionals strives to provide our community and our patients with optimal Maternal and Neonatal care and education; and
WHEREAS, care at a facility that participates in a standardized system of Maternal and Neonatal care can significantly reduce morbidity and mortality, we have reviewed and approved the written plan and the program policies and procedures and ensure that the requirements are implemented and enforced; and
WHEREAS, participation in the Texas Department of State Health Services Maternal Designation will result in an organized response utilizing evidence based treatment guidelines to expedite the assessment and treatment of patients presenting with obstetric or neonatal conditions; and
WHEREAS, participation in the Texas Department of State Health Services Maternal Designation program will result in improved patient outcomes through a robust performance improvement program and an assurance that those caring for maternal and neonatal patients are educationally prepared; now
BE IT RESOLVED the Board of Directors of Cuero Regional Hospital proudly commits to provide the financial, human and physical resources necessary to achieve and sustain designation as a DSHS LEVEL 1 Maternal Facility.
IN WITNESS THEREOF, I have hereunto subscribed my name this _ _ day of ____, 2020.
Chairman of the Board
CUERO HEALTH
Cuero Regional Hospital · Cuero Home Health · Bfit Cuero Wellness Center Cuero Medical Clinic · Goliad Family Practice · Kenedy Family Practice · Parkside Family Clinic · Yorktown Medical Clinic
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