Common use of PATIENT CARE FUND Clause in Contracts

PATIENT CARE FUND. In recognition of Residents foregoing pay raises in a previous contract, the Department of Health Services, and Chief Executive Office will recommend to the Board of Supervisors that a fund, to be identified as the CIR Quality Patient Care Fund, be established within the Department of Health Services effective on the date of Board approval of this Agreement. The amount of the CIR Quality Patient Care Fund will be $ 2,222,500 each year for fiscal years 2021-2022 2022-2023, 2023-2024, and 2024-2025. The $2,222,500 will be appropriated by relative employee size of the institutions as follows: $1,210,000 for the use of LAC+USC Medical Center house staff; $990,000 for the use of Harbor/UCLA Medical Center house staff and $22,500 for the 15 residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx and Rancho Los Amigos facilities. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $1,210,000; $990,000; and/or $22,500). In the event more than 15 residents/dental interns are designated to the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities, either party can request to meet to discuss providing additional funding to the Quality Patient Care Fund based upon the increased number in residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities. This meeting shall take place within 30 business days. This fund shall be inviolate and free from assessments, freezes, impounds or deferrals, and may be used only for improved quality of patient care. During the term of this Memorandum of Understanding, all of the committees provided in 2 and 3 below shall meet as a "Steering Committee" and by mutual agreement allocate funds to the institutional level, taking cognizance of all recommendations. Funds allocated to the institutional level will be administered as follows: 1. Authority to commit and expend the funds will be vested in the institutional administrators. 2. The institutional administrator shall appoint a "Team." Medical Directors, physician service chiefs and director of patient care services may be appointed to this Team. This Team shall not exceed five in number. 3. Interns and Residents at each institution shall convene and designate a "Team”. This Team shall not exceed five in number. 4. When issues involve Preventive Health, Mental Health, Nursing and Ambulatory Care needs, representatives from these areas shall participate in the discussions. 5. Mutual agreement of the teams at each institution listed in 2 and 3 shall be required to initiate the authority to expend as provided in 1 above. 6. The CIR shall submit its list of requested patient care equipment for that fiscal year to the institutional Chief Medical Officer by February 28. By meeting this due date, it shall be deemed that the CIR has met the requirements for committing the allocation to the Patient Care Fund. The institution shall, within 30 days from the date of receipt, discuss problem requests with the CIR. Where the County is able to obtain equipment for less than the CIR's initial estimate, Management and CIR shall, as soon as possible, mutually agree to spend the savings. If CIR fails to meet this due date, the institution allocation shall be transferred to the institution administrator to purchase patient care equipment. 7. The CIR shall obtain estimates and information only, and shall not commit or negotiate prices, services agreements, or training costs with vendors. The items recommended shall be processed through the County's normal County purchasing procedures. The Los Angeles County - USC Medical Center, Harbor - UCLA Medical Center and the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities will provide a monthly Patient Care Fund status report to the President of the Interns and Residents at each hospital, the Patient Care Fund Vice-President at each hospital and to the designated representative of the CIR. Section 1. Quality Improvement Projects The Department of Health Services agrees to pay the sum of $300,000 to CIR each year for fiscal years 2022-2025 for the sole purpose of funding Patient Provider and Community Engagement Projects (i.e., improving discharge planning or patient satisfaction,) and engagement of the medical and local community (i.e., resident well-being initiatives, house- staff appreciation days or a community health fair) for house staff at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation Center. The Department of Health Services agrees to make the initial annual lump sum payment to CIR covering the 2022-2023 fiscal year within 30 days of Board approval of this MOU and the subsequent payments by the 10th business day following the start of the 2023-2024 and 2024-2025 fiscal years. CIR shall accept fiduciary responsibility over these funds in compliance with relevant accounting standards. The County and the Department of Health Services shall have no responsibility or liability for the administration of this benefit. Interns and Residents at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation facilities shall each convene and designate a Quality Improvement Steering Committee (not to exceed five in number) and submit an annual report to the respective facility CEO. An itemized financial statement addressing the sums set forth above, as well as a report of the corresponding Quality Improvement activities, shall be provided by CIR to the Department of Health Services upon request. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $300,000).

PATIENT CARE FUND. ‌ In recognition of Residents foregoing pay raises in a previous contract, the Department of Health Services, and Chief Executive Office will recommend to the Board of Supervisors that a fund, to be identified as the CIR Quality Patient Care Fund, be established within the Department of Health Services effective on the date of Board approval of this Agreement. The amount of the CIR Quality Patient Care Fund will be $ 2,222,500 $2,200,000 each year for fiscal years 20212015-2022 20222016, 2016-2023, 20232017 and 2017-2024, and 2024-20252018. The $2,222,500 2,200,000 will be appropriated by relative employee size of the two institutions as follows: $1,210,000 for the use of LAC+USC Medical Center house staff; and $990,000 for the use of Harbor/UCLA Medical Center house staff and $22,500 for staff. All funds must be spent in the 15 residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx and Rancho Los Amigos facilities. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $1,210,000; $990,000; and/or $22,500)of allocation. In the event more than 15 residents/dental interns are designated to the Xxxxxx Xxxxxx Xxxx Xx. facility becomes a teaching institution for County interns and Rancho Los Amigos facilitiesresidents, either party can request to the parties will meet to discuss providing additional funding to a reconfiguration of the $2,200,000 appropriation of the Quality Patient Care Fund based upon the increased number in residents/dental interns at to include the Xxxxxx Xxxxxx Xxxx Xxxx, Xx. and Rancho Los Amigos facilities. This meeting shall take place within 30 business daysfacility. This fund shall be inviolate and free from assessments, freezes, impounds or deferrals, and may be used only for improved quality of patient care. The Director of the Department of Health Services shall have direct control of the fund. During the term of this Memorandum of Understanding, all of the committees provided in 2 and 3 below shall meet as a "Steering Committee" and by mutual agreement allocate funds to the institutional level, taking cognizance of all recommendations. Funds allocated to the institutional level will be administered as follows: 1. Authority to commit and expend the funds will be vested in the institutional administrators. 2. The institutional administrator shall appoint a "Team." Medical Directors, physician service chiefs and director of patient care services may be appointed to this Team. This Team shall not exceed five in number. 3. Interns and Residents at each institution shall convene and designate a "Team”. This Team shall not exceed five in number. 4. When issues involve Preventive Health, Mental Health, Nursing and Ambulatory Care needs, representatives from these areas shall participate in the discussions. 5. Mutual agreement of the teams at each institution listed in 2 and 3 shall be required to initiate the authority to expend as provided in 1 above. 6. The CIR shall submit its list of requested patient care equipment for that fiscal year to the institutional Chief Medical Officer by February 28. By meeting this due date, it shall be deemed that the CIR has met the requirements for committing the allocation to the Patient Care Fund. The institution shall, within 30 days from the date of receipt, discuss problem requests with the CIR. Where the County is able to obtain equipment for less than the CIR's initial estimate, Management and CIR shall, as soon as possible, mutually agree to spend the savings. If CIR fails to meet this due date, the institution allocation shall be transferred to the institution administrator to purchase patient care equipment. 7. The CIR shall obtain estimates and information only, and shall not commit or negotiate prices, services agreements, or training costs with vendors. The items recommended shall be processed through the County's normal County purchasing procedures. The Los Angeles County - USC Medical Center, Center and Harbor - UCLA Medical Center and the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities will provide a monthly Patient Care Fund status report to the President of the Interns and Residents at each hospital, the Patient Care Fund Vice-Vice- President at each hospital and to the designated representative of the CIR. Section 1. Quality Improvement Projects The Department of Health Services agrees to pay the sum of $300,000 to CIR each year for fiscal years 2022-2025 for the sole purpose of funding Patient Provider and Community Engagement Projects (i.e., improving discharge planning or patient satisfaction,) and engagement of the medical and local community (i.e., resident well-being initiatives, house- staff appreciation days or a community health fair) for house staff at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation Center. The Department of Health Services agrees to make the initial annual lump sum payment to CIR covering the 2022-2023 fiscal year within 30 days of Board approval of this MOU and the subsequent payments by the 10th business day following the start of the 2023-2024 and 2024-2025 fiscal years. CIR shall accept fiduciary responsibility over these funds in compliance with relevant accounting standards. The County and the Department of Health Services shall have no responsibility or liability for the administration of this benefit. Interns and Residents at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation facilities shall each convene and designate a Quality Improvement Steering Committee (not to exceed five in number) and submit an annual report to the respective facility CEO. An itemized financial statement addressing the sums set forth above, as well as a report of the corresponding Quality Improvement activities, shall be provided by CIR to the Department of Health Services upon request. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $300,000).

PATIENT CARE FUND. In recognition of Residents foregoing pay raises in a previous contract, the Department of Health Services, and Chief Executive Office will recommend to the Board of Supervisors that a fund, to be identified as the CIR Quality Patient Care Fund, be established within the Department of Health Services effective on the date of Board approval of this Agreement. The amount of the CIR Quality Patient Care Fund will be $ 2,222,500 each year for fiscal years year 2021-2022 2022-2023, 2023-2024, and 2024-2025. The $2,222,500 will be appropriated by relative employee size of the institutions as follows: $1,210,000 for the use of LAC+USC Medical Center house staff; $990,000 for the use of Harbor/UCLA Medical Center house staff and $22,500 for the 15 residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx and Rancho Los Amigos facilities. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $1,210,000; $990,000; and/or $22,500). In the event more than 15 residents/dental interns are designated to the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities, either party can request to meet to discuss providing additional funding to the Quality Patient Care Fund based upon the increased number in residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities. This meeting shall take place within 30 business days. This fund shall be inviolate and free from assessments, freezes, impounds or deferrals, and may be used only for improved quality of patient care. The Director of the Department of Health Services shall have direct control of the fund. During the term of this Memorandum of Understanding, all of the committees provided in 2 and 3 below shall meet as a "Steering Committee" and by mutual agreement allocate funds to the institutional level, taking cognizance of all recommendations. Funds allocated to the institutional level will be administered as follows: 1. Authority to commit and expend the funds will be vested in the institutional administrators. 2. The institutional administrator shall appoint a "Team." Medical Directors, physician service chiefs and director of patient care services may be appointed to this Team. This Team shall not exceed five in number. 3. Interns and Residents at each institution shall convene and designate a "Team”. This Team shall not exceed five in number. 4. When issues involve Preventive Health, Mental Health, Nursing and Ambulatory Care needs, representatives from these areas shall participate in the discussions. 5. Mutual agreement of the teams at each institution listed in 2 and 3 shall be required to initiate the authority to expend as provided in 1 above. 6. The CIR shall submit its list of requested patient care equipment for that fiscal year to the institutional Chief Medical Officer by February 28. By meeting this due date, it shall be deemed that the CIR has met the requirements for committing the allocation to the Patient Care Fund. The institution shall, within 30 days from the date of receipt, discuss problem requests with the CIR. Where the County is able to obtain equipment for less than the CIR's initial estimate, Management and CIR shall, as soon as possible, mutually agree to spend the savings. If CIR fails to meet this due date, the institution allocation shall be transferred to the institution administrator to purchase patient care equipment. 7. The CIR shall obtain estimates and information only, and shall not commit or negotiate prices, services agreements, or training costs with vendors. The items recommended shall be processed through the County's normal County purchasing procedures. The Los Angeles County - USC Medical Center, Harbor - UCLA Medical Center and the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities will provide a monthly Patient Care Fund status report to the President of the Interns and Residents at each hospital, the Patient Care Fund Vice-President at each hospital and to the designated representative of the CIR. Section 1. Quality Improvement Projects The Department of Health Services agrees to pay the sum of $300,000 to CIR each year for fiscal years 2022-2025 for the sole purpose of funding Patient Provider and Community Engagement Projects (i.e., improving discharge planning or patient satisfaction,) and engagement of the medical and local community (i.e., resident well-being initiatives, house- staff appreciation days or a community health fair) for house staff at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation Center. The Department of Health Services agrees to make the initial annual lump sum payment to CIR covering the 2022-2023 fiscal year within 30 days of Board approval of this MOU and the subsequent payments by the 10th business day following the start of the 2023-2024 and 2024-2025 fiscal years. CIR shall accept fiduciary responsibility over these funds in compliance with relevant accounting standards. The County and the Department of Health Services shall have no responsibility or liability for the administration of this benefit. Interns and Residents at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation facilities shall each convene and designate a Quality Improvement Steering Committee (not to exceed five in number) and submit an annual report to the respective facility CEO. An itemized financial statement addressing the sums set forth above, as well as a report of the corresponding Quality Improvement activities, shall be provided by CIR to the Department of Health Services upon request. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $300,000).

PATIENT CARE FUND. In recognition of Residents foregoing pay raises in a previous contract, the Department of Health Services, and Chief Executive Office will recommend to the Board of Supervisors that a fund, to be identified as the CIR Quality Patient Care Fund, be established within the Department of Health Services effective on the date of Board approval of this Agreement. The amount of the CIR Quality Patient Care Fund will be $ 2,222,500 each year for fiscal years 2018-2019, 2019-2020 and 2020-2021-2022 2022-2023, 2023-2024, and 2024-2025. The $2,222,500 will be appropriated by relative employee size of the institutions as follows: $1,210,000 for the use of LAC+USC Medical Center house staff; $990,000 for the use of Harbor/UCLA Medical Center house staff and $22,500 for the 15 residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx and Rancho Los Amigos facilities. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $1,210,000; $990,000; and/or $22,500). In the event more than 15 residents/dental interns are designated to the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities, either party can request to meet to discuss providing additional funding to the Quality Patient Care Fund based upon the increased number in residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities. This meeting shall take place within 30 business days. This fund shall be inviolate and free from assessments, freezes, impounds or deferrals, and may be used only for improved quality of patient care. The Director of the Department of Health Services shall have direct control of the fund. During the term of this Memorandum of Understanding, all of the committees provided in 2 and 3 below shall meet as a "Steering Committee" and by mutual agreement allocate funds to the institutional level, taking cognizance of all recommendations. Funds allocated to the institutional level will be administered as follows: 1. Authority to commit and expend the funds will be vested in the institutional administrators. 2. The institutional administrator shall appoint a "Team." Medical Directors, physician service chiefs and director of patient care services may be appointed to this Team. This Team shall not exceed five in number. 3. Interns and Residents at each institution shall convene and designate a "Team”. This Team shall not exceed five in number. 4. When issues involve Preventive Health, Mental Health, Nursing and Ambulatory Care needs, representatives from these areas shall participate in the discussions. 5. Mutual agreement of the teams at each institution listed in 2 and 3 shall be required to initiate the authority to expend as provided in 1 above. 6. The CIR shall submit its list of requested patient care equipment for that fiscal year to the institutional Chief Medical Officer by February 28. By meeting this due date, it shall be deemed that the CIR has met the requirements for committing the allocation to the Patient Care Fund. The institution shall, within 30 days from the date of receipt, discuss problem requests with the CIR. Where the County is able to obtain equipment for less than the CIR's initial estimate, Management and CIR shall, as soon as possible, mutually agree to spend the savings. If CIR fails to meet this due date, the institution allocation shall be transferred to the institution administrator to purchase patient care equipment. 7. The CIR shall obtain estimates and information only, and shall not commit or negotiate prices, services agreements, or training costs with vendors. The items recommended shall be processed through the County's normal County purchasing procedures. The Los Angeles County - USC Medical Center, Harbor - UCLA Medical Center and the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities will provide a monthly Patient Care Fund status report to the President of the Interns and Residents at each hospital, the Patient Care Fund Vice-President at each hospital and to the designated representative of the CIR. Section 1. Quality Improvement Projects The Department of Health Services agrees to pay the sum of $300,000 to CIR each year for fiscal years 2022-2025 for the sole purpose of funding Patient Provider and Community Engagement Projects (i.e., improving discharge planning or patient satisfaction,) and engagement of the medical and local community (i.e., resident well-being initiatives, house- staff appreciation days or a community health fair) for house staff at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation Center. The Department of Health Services agrees to make the initial annual lump sum payment to CIR covering the 2022-2023 fiscal year within 30 days of Board approval of this MOU and the subsequent payments by the 10th business day following the start of the 2023-2024 and 2024-2025 fiscal years. CIR shall accept fiduciary responsibility over these funds in compliance with relevant accounting standards. The County and the Department of Health Services shall have no responsibility or liability for the administration of this benefit. Interns and Residents at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation facilities shall each convene and designate a Quality Improvement Steering Committee (not to exceed five in number) and submit an annual report to the respective facility CEO. An itemized financial statement addressing the sums set forth above, as well as a report of the corresponding Quality Improvement activities, shall be provided by CIR to the Department of Health Services upon request. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $300,000).

PATIENT CARE FUND. ‌ In recognition of Residents foregoing pay raises in a previous contract, the Department of Health Services, and Chief Executive Office will recommend to the Board of Supervisors that a fund, to be identified as the CIR Quality Patient Care Fund, be established within the Department of Health Services effective on the date of Board approval of this Agreement. The amount of the CIR Quality Patient Care Fund will be $ 2,222,500 each year for fiscal years 2018-2019, 2019-2020 and 2020-2021-2022 2022-2023, 2023-2024, and 2024-2025. The $2,222,500 will be appropriated by relative employee size of the institutions as follows: $1,210,000 for the use of LAC+USC Medical Center house staff; $990,000 for the use of Harbor/UCLA Medical Center house staff and $22,500 for the 15 residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx and Rancho Los Amigos facilities. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $1,210,000; $990,000; and/or $22,500). In the event more than 15 residents/dental interns are designated to the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities, either party can request to meet to discuss providing additional funding to the Quality Patient Care Fund based upon the increased number in residents/dental interns at the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities. This meeting shall take place within 30 business days. This fund shall be inviolate and free from assessments, freezes, impounds or deferrals, and may be used only for improved quality of patient care. The Director of the Department of Health Services shall have direct control of the fund. During the term of this Memorandum of Understanding, all of the committees provided in 2 and 3 below shall meet as a "Steering Committee" and by mutual agreement allocate funds to the institutional level, taking cognizance of all recommendations. Funds allocated to the institutional level will be administered as follows: 1. Authority to commit and expend the funds will be vested in the institutional administrators. 2. The institutional administrator shall appoint a "Team." Medical Directors, physician service chiefs and director of patient care services may be appointed to this Team. This Team shall not exceed five in number. 3. Interns and Residents at each institution shall convene and designate a "Team”. This Team shall not exceed five in number. 4. When issues involve Preventive Health, Mental Health, Nursing and Ambulatory Care needs, representatives from these areas shall participate in the discussions. 5. Mutual agreement of the teams at each institution listed in 2 and 3 shall be required to initiate the authority to expend as provided in 1 above. 6. The CIR shall submit its list of requested patient care equipment for that fiscal year to the institutional Chief Medical Officer by February 28. By meeting this due date, it shall be deemed that the CIR has met the requirements for committing the allocation to the Patient Care Fund. The institution shall, within 30 days from the date of receipt, discuss problem requests with the CIR. Where the County is able to obtain equipment for less than the CIR's initial estimate, Management and CIR shall, as soon as possible, mutually agree to spend the savings. If CIR fails to meet this due date, the institution allocation shall be transferred to the institution administrator to purchase patient care equipment. 7. The CIR shall obtain estimates and information only, and shall not commit or negotiate prices, services agreements, or training costs with vendors. The items recommended shall be processed through the County's normal County purchasing procedures. The Los Angeles County - USC Medical Center, Harbor - UCLA Medical Center and the Xxxxxx Xxxxxx Xxxx Xx. and Rancho Los Amigos facilities will provide a monthly Patient Care Fund status report to the President of the Interns and Residents at each hospital, the Patient Care Fund Vice-President at each hospital and to the designated representative of the CIR. Section 1. Quality Improvement Projects The Department of Health Services agrees to pay the sum of $300,000 to CIR each year for fiscal years 2022-2025 for the sole purpose of funding Patient Provider and Community Engagement Projects (i.e., improving discharge planning or patient satisfaction,) and engagement of the medical and local community (i.e., resident well-being initiatives, house- staff appreciation days or a community health fair) for house staff at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation Center. The Department of Health Services agrees to make the initial annual lump sum payment to CIR covering the 2022-2023 fiscal year within 30 days of Board approval of this MOU and the subsequent payments by the 10th business day following the start of the 2023-2024 and 2024-2025 fiscal years. CIR shall accept fiduciary responsibility over these funds in compliance with relevant accounting standards. The County and the Department of Health Services shall have no responsibility or liability for the administration of this benefit. Interns and Residents at LAC+USC Medical Center, Harbor/UCLA Medical Center, the Xxxxxx Xxxxxx Xxxx Xx. Outpatient Center and Rancho Los Amigos Rehabilitation facilities shall each convene and designate a Quality Improvement Steering Committee (not to exceed five in number) and submit an annual report to the respective facility CEO. An itemized financial statement addressing the sums set forth above, as well as a report of the corresponding Quality Improvement activities, shall be provided by CIR to the Department of Health Services upon request. Sixty calendar days prior to the end of each fiscal year, CIR will provide the respective institution an accounting of any unused funds. Said unused funds will then be eligible to be rolled over into the next fiscal year. The total amount of rolled over funds in any given year will be limited to equal the amount of the initial fiscal year allocation (e.g., $300,000).