ADOPTED - DECEMBER 14, 2010

                                                                                                                                                   Agenda Item No. 31

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE AN AGREEMENT WITH SPARROW HOSPITAL FOR  MEDICAL EXAMINER SERVICES

RESOLUTION #10-406

WHEREAS, In Resolution #07-322 the Ingham County Board of Commissioners reappointed Dean G. Sienko, M.D  as the Ingham County Medical Examiner,;

WHEREAS, P.A. 1953, No. 181, the Medical Examiner A . . . shall make investigations as to the cause and manner of death in cases of all persons who die suddenly, unexpectedly, violently, as a result of any suspicious circumstances, while imprisoned in a county or city jail, or persons without medical attendance 48 hours prior to the time of death; or as the result of an abortion . . . @; and

WHEREAS,  a system for determining the cause and manner of death requires professional staff to receive calls from those reporting a death (e.g. police, hospital emergency room staff), physicians to provide medical oversight of the process, and pathologists to conduct autopsies, when necessary, and

WHEREAS, for years, the Ingham County Medical Examiner has used Health Department staff to perform many of the office’s functions and also contracted with physicians through appointments as Deputy Medical Examiners,  while it contracted with local pathologists for autopsy services, and

WHEREAS, the Medical Examiner’s Offices requested the Ingham County Purchasing Department to release a Request For Proposals seeking agencies that could bundle together many of the services performed by the Medical Examiner’s office, and

WHEREAS, two proposals were received, and after review, it has been determined that Sparrow Hospital submitted the highest quality proposal, and

WHEREAS, Sparrow Hospital and Ingham County have subsequently negotiated a price agreeable to both parties for the service,

THEREFORE BE IT RESOLVED, that the Ingham County Medical Examiner’s office enter into a four year agreement with Sparrow Hospital to conduct medical examiner functions as described in their proposal.

THEREFORE BE IT RESOLVED, that the term of the agreement shall be March 1, 2011 through February 28, 2015.

BE IT FURTHER RESOLVED, that Ingham County will reimburse Sparrow Hospital up to $320,000 per year for this service based upon 160 autopsies per year.

BE IT FURTHER RESOLVED, for autopsies in excess of 160, Sparrow will be reimbursed at negotiated rates.

ADOPTED - DECEMBER 14, 2010

                                                                                                                                                   Agenda Item No. 31

RESOLUTION #10-406

BE IT FURTHER RESOLVED, if the number of reported deaths meeting Medical Examiner case definition is at least 10% greater than 560, Sparrow will be reimbursed at a rate that equals the increased percentage.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the Agreement after review by the County Attorney.

HUMAN SERVICES:  Yeas: McGrain, Tennis, Koenig, Vickers

   Nays:  None        Absent:  Davis, Nolan          Approved 12/6/10

FINANCE:  Yeas:  Grebner, Tennis, Bahar-Cook, Schor, Holman, Dougan

Nays:  None        Absent:  None            Approved 12/8/10