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File #: 26-050    Version: 1 Name:
Type: Resolution Status: Agenda Ready
File created: 12/26/2025 Departments: HEALTH
On agenda: 1/27/2026 Final action:
Title: Recommendation to: A) Adopt a resolution: 1. Authorizing an amendment to the agreement with Epic Systems Corporation to expand the Electronic Health Medical Record system to additional divisions within San Mateo County Health, increasing the County's fiscal obligation by $21,620,589, for a total amount not to exceed $85,079,673; and 2. Authorizing an amendment to the agreement with Epic Hosting LLC to expand the Electronic Health Medical Record system to additional divisions within San Mateo County Health, increasing the County's fiscal obligation by $2,983,000, for a total amount not to exceed $17,830,484; and 3. Authorizing an amendment to Master Salary Resolution 081316 to add thirty-five positions to the General Fund; and B) Authorizing an Appropriation Transfer Request (ATR) increasing unanticipated revenue by $7,058,660, Fixed Assets by $5,362,779, Other Financing Uses by $1,695,881 for Capital Projects Fund and increasing unanticipated revenue by $2,833,827, Salaries and Be...
Attachments: 1. 20260127_r_EHR - Phase II.pdf, 2. 20260127_atr_ATR_Epic Phase II.pdf, 3. 20260127_a_Epic System Corp.pdf, 4. 20260127_a_Epic Hosting LLC.pdf
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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Special Notice / Hearing: None
Vote Required: 4/5ths

To: Honorable Board of Supervisors

From: Colleen Chawla, Chief, San Mateo County Health
Rich Bailey, Chief Information Officer, San Mateo County Health

Subject: Amendment to the Agreement with Epic Systems Corporation and Epic Hosting, LLC to Expand the Electronic Medical Record System to Additional Divisions, Amendment to the Master Salary Resolution 0813165 to Add Thirty-Five Positions, and Appropriation Transfer Request Increasing the FY2025-26 Adopted Budget

RECOMMENDATION:
title
Recommendation to:

A) Adopt a resolution:

1. Authorizing an amendment to the agreement with Epic Systems Corporation to expand the Electronic Health Medical Record system to additional divisions within San Mateo County Health, increasing the County's fiscal obligation by $21,620,589, for a total amount not to exceed $85,079,673; and

2. Authorizing an amendment to the agreement with Epic Hosting LLC to expand the Electronic Health Medical Record system to additional divisions within San Mateo County Health, increasing the County's fiscal obligation by $2,983,000, for a total amount not to exceed $17,830,484; and

3. Authorizing an amendment to Master Salary Resolution 081316 to add thirty-five positions to the General Fund; and

B) Authorizing an Appropriation Transfer Request (ATR) increasing unanticipated revenue by $7,058,660, Fixed Assets by $5,362,779, Other Financing Uses by $1,695,881 for Capital Projects Fund and increasing unanticipated revenue by $2,833,827, Salaries and Benefits by $1,896,577, Other Charges by $750,000, Dept Employee Training Expense by $187,250 for the General Fund for the second phase of implementation of the Electronic Health Record.

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BACKGROUND:
San Mateo County Health's (SMCH) mission is to help San Mateo County residents live longer and better lives. The services that SMCH offers to Medi-Cal and uninsured low-income residents are the backbone of that work throug...

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