Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Rich Bailey, Chief Information Officer, San Mateo County Health
Subject: Amendment No. 8 to the Agreement with NextGen Healthcare Inc. to Extend the Mirth Connect Interface Engine & Mirth Appliances
RECOMMENDATION:
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Adopt a resolution authorizing Amendment No. 8 to the agreement with NextGen Healthcare Inc. to extend the Mirth Connect Interface Engine & Mirth Appliances, by extending the agreement one year and increasing the amount of the agreement by $49,400 to an amount not to exceed $5,233,510.
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BACKGROUND:
In 2014, San Mateo County Health (SMCH) addressed client security issues related to the accessibility of patient information at the point of service. The Health Information Technology (HIT) division issued a Request for Proposals (RFP) for Health Information Exchange services in October 2015 and selected NextGen Healthcare Inc. to provide the services.
On December 13, 2022, this Board approved an agreement with Epic Systems Corporation (Epic) to provide the Electronic Health Record (EHR) system for SMCH. With the implementation of the new EHR system, SMCH must contract directly for a third-party interface engine - an interface that connects third-party applications to Epic. Currently, NexGen Healthcare's "Mirth Connect" application provides this service.
In July 2025, the HIT division issued an RFP for an interface engine application. Evaluations were conducted, and the most qualified vendor was elevated into contract negotiations, which are underway. During the process, the County discovered that the EHR System requires a 12-month integration period for a new interface engine, which would exceed the current vendor agreement's expiration.
DISCUSSION:
SMCH is now requesting this Board's approval for a one-year extension and to waive the RFP process for extending NextGen...
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