Special Notice / Hearing: None
Vote Required: Majority
To: Honorable Board of Supervisors
From: Michael P. Callagy, County Executive
Louise F. Rogers, Chief, San Mateo County Health
Roberto Manchia, County Chief Financial Officer
Subject: Approval of Creation of Electronic Health Record Budget Unit (8420B)
RECOMMENDATION:
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Adopt a resolution authorizing the approval of the creation of a Budget Unit (8420B) for the budgeting of the Electronic Health Record System for County Health projects.
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BACKGROUND:
San Mateo County Health (SMCH) is responsible for providing necessary medical care to its medically indigent population. SMCH operates San Mateo Medical Center and its outpatient clinics; Public Health, Policy, and Planning, which includes multiple clinics; Family Health Services; Behavioral Health and Recovery Services; Aging and Adult Services, and Correctional Health Services. These six SMCH divisions utilize multiple, outdated electronic health record (EHR) systems or paper charts to maintain patient information. The fragmentation results in a constant struggle by SMCH providers to obtain a current and comprehensive view of the client record at the point of care. The use of multiple EHRs impedes data sharing and coordination between in-and out-patient care, mental health and substance use disorder treatment, social services, and community partners.
On December 13, 2022, this Board approved an agreement with EPIC Systems Corporation (Epic) to provide: a license to its software to host SMCH associated hardware and data, implementation services, and staff to assist SMCH in building a single, unified EHR system and ensure a successful implementation. Also approved with the Epic agreement was the authority for the Chief of County Health or their designee to approve additional agreements.
In conjunction with the aforementioned agreement on December 13, 2022, this Board approved an Appropriation Transfer Request i...
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