Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Carlos Morales, Director, Correctional Health Services
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Eric Raffin, Chief Information Officer, Health Information Technology
Subject: Amendment to the Agreement with Cerner Health Services, Inc. to Implement an Electronic Health Record Solution at San Mateo County's Correctional Health Facilities
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Cerner Health Services, Inc. to implement an electronic health record solution at San Mateo County's correctional health facilities, increasing the amount by $870,000, to an amount not to exceed $30,488,914.
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BACKGROUND:
On September 23, 2003, your Board approved an agreement with Siemens Health Solutions, USA, Inc. (Siemens) for ongoing information technology support and applications at San Mateo Medical Center (SMMC). On February 1, 2015, Siemens was acquired by Cerner Health Services, Inc. (Cerner) and the agreement was assigned to Cerner. The agreement has been amended multiple times since.
DISCUSSION:
Currently, Correctional Health Services (CHS) care providers document patient medical information on paper charts. When patients are transported between facilities e.g., for housing and medical appointments, their charts are transferred with them to the new facility. This may cause critical medical information to be lost or not available to providers at the moment they are needed, thus negatively impacting the quality or appropriateness of care. In addition, CHS employees spend significant time tracking paper patient health records because only one care provider can access the paper chart at any given time. Furthermore, physician's orders, including pharmacy orders, are manually transcribed onto paper forms, ...
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