Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Stephen Dean, Chief Information Officer, Health Information Technology
Subject: Agreement with Epic Systems Corporation and Epic Hosting, LLC to Provide an Electronic Medical Record System
RECOMMENDATION:
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Adopt a resolution:
A) Authorizing agreements with Epic Systems Corporation and Epic Hosting, LLC to provide an Electronic Health Medical Record system that includes software, hosting, and implementation services for San Mateo County Health, in an amount not to exceed $78,306,568; and
B) Authorizing the Chief of San Mateo County Health or their designee to enter into facilitated agreements with Up-To-Date, Intelligent Medical Objects (IMO); and CareSelect; in an amount not to exceed $1,501,970.
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BACKGROUND:
San Mateo County Health's (SMCH) mission is to help San Mateo County residents live longer and better lives, and the services it offers to Medi-Cal and uninsured low-income residents are the backbone of that work through San Mateo Medical Center and its outpatient clinics; Public Health, which includes several 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 These six SMCH divisions utilize multiple, outdated, electronic health record (EHR) systems or paper charts to maintain patient information. This fragmentation results in a constant struggle by 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. A Request for Proposals (RFP) to replace the current EHR systems was released in 2019 and negotiations with the preferred vendor were completed this year once the substant...
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