DeKalb Times

DeKalb County Health & Human Services Committee met Sept. 9.

Here is the agenda provided by the committee:

1. Roll Call

2. Approval of Agenda

3. Approval of Minutes

a. Minutes from August 5, 2024

4. Public Comments

Any member of the public may address the Committee for up to 3 minutes on any topic of their choosing. There will be no yielding of time to other members of the public and agenda time for public comments is limited to 30 minutes in total.

5. Resolutions

a. Resolution R2024-098—A Resolution Awarding the DCRNC Billing & Consulting Services Contract to Jordan Healthcare Group.

Jordan Healthcare Group (JHG) began working with the DCRNC in 2022 to provide billing services for the facility’s Business Office. The scope of services that JHG provides for the DCRNC has grown significantly over time to include regular consulting services, the formulation and implementation of a business plan, and assistance with State & Federal compliance matters.

JHG was originally brought on under emergent circumstances in 2022 due to the severity of the billing issues the facility was facing. Due to the circumstances at the facility no longer being considered emergent, the current scope of services, and the annual expenditures for JHG’s services, the County Board approved Resolution R2024-068 which directed staff to issue a Request for Proposal (RFP) for Skilled Nursing Facility Billing & Consulting Services. The RFP pricing included an hourly rate alternative and a flat monthly rate alternative for billing and consulting services.

The public bid opening was held on Friday, August 31, 2024 at 10:30am. The DCRNC received one proposal submission from Jordan Healthcare Group. Based on their familiarity with the facility, JHG proposed an accounting services category in addition to the billing and consulting services line items. The pricing submitted as part of JHG’s proposal.

The FY2025 Budget Preliminary Assumptions and Recommendation includes a balanced budget for the DCRNC which was prepared by JHG as part of the update to the JHG Business Plan. The Budget includes a Professional Services Budget (611-3980-62100) of $369,135 for the fiscal year. As of July 31, 2024, JHG’s services account for approximately thirty-one percent (31%) of the expenditures from that line item in FY2024.

Staff has engaged representatives of JHG in discussions regarding their proposal, their anticipated future needs of the facility and their historic usage rate. JHG has analyzed utilization of their services by the County that for billing and consulting services rendered between January and August 2024, they have invoiced the County for an average of approximately 59 hours per month (35 hours per month spent on billing and 24 hours per month spent on consulting). This equates to an average monthly cost of $15,603.91 with an average hourly rate of $264.05 per hour between billing and consulting services. Following this discussion, JHG has submitted the following revised proposal:

Hourly Alternative Fixed Rate Alternative

Hours Blended Rate Total Hourly Cost Hours Monthly Cost Billing Services 45 $263 $11,835 Billing Services 45 $11,750 Consulting Services 30 $263 $7,890 Consulting Services 30 $7,750 Monthly Total 75 $19,725 Monthly Total 75 $19,500 Annual Total 900 $236,700 Annual Total 900 $234,000

During the conversations with staff, representative of JHG had indicated that if the County Board were to proceed with the revised proposal, they believe the contract should have a termination date of December 31, 2025 so that the needs of the facility may be reassessed prior and an RFP can be issued that accurately reflects the current needs of the DCRNC.

If the County Board were to approve Resolution R2024-098, staff is recommending that that the County Board proceed with one of the alternatives from the revised proposal with a contract expiring on December 31, 2025.

b. Resolution R2024-099—A Resolution Authorizing the DCRNC Administrator to Execute the Hospice Services Agreement with Sanctuary Hospice on behalf of the DeKalb County Rehab and Nursing Center.

Resolution R2024-099 authorizes the DCRNC to enter into a Hospice Services Agreement with Sanctuary Hospice. This agreement has been reviewed by Staff and the State’s Attorney’s Office. This Resolution would approve the agreement pending final legal review.

6. Adjournment

https://dekalbcounty.org/wp-content/uploads/2024/09/packet-hhs-09092024.pdf