Special Notice / Hearing: None
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Viral Mehta, Director, LEAP Institute
Rich Bailey, Chief Information Officer, San Mateo County Health
Subject: Amendment to the Agreement with KaiNexus Inc to Extend the Term an Additional Five Years and to Increase the County’s Fiscal Obligation
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with KaiNexus Inc to extend the term an additional three years for a term of December 10, 2019 through December 9, 2029, and increase the County’s fiscal obligation by $557,267 to an amount not to exceed $1,380,242.
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BACKGROUND:
Problem-solving and continuous improvement have been foundational elements of San Mateo County Health (SMCH) for many years. The KaiNexus Inc (KaiNexus) platform has been in place since 2019 to support SMCH staff in effectively managing all problem-solving activities, including those related to safety, such that all problems are seen and solved to root, and solutions are spread systematically. Currently, 2,281 SMCH users are using this application.
DISCUSSION:
KaiNexus is being utilized in nearly all divisions within SMCH: San Mateo Medical Center (SMMC), Public Health, Policy, and Planning, Aging and Disability Services, Behavioral Health Recovery Services (BHRS), Correctional Health Services, and Emergency Medical Services, with SMMC and BHRS using it for mandatory reporting requirements. SMCH recently initiated expansion to Family Health Services, which started a pilot and are also planning to implement division-wide over the coming months.
SMCH and Health Information Technology released a Request for Proposals solicitation in March 2026, and KaiNexus was the selected vendor based on its unique and specific focus on identifying and implementing improvement opportunities while using the methodology adopted by SMCH.
On December 12, 2019, th...
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