Special Notice / Hearing: None__
Vote Required: 4/5ths
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Stephen Dean, Chief Information Officer, San Mateo County Health
Subject: Appropriation Transfer Request Increasing the FY 2022-23 Adopted Budget
RECOMMENDATION:
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Approve an Appropriation Transfer Request (ATR) increasing unanticipated revenue by $22,273,248 and Salaries and Benefits by $3,374,366 and Services and Supplies by $18,898,882 for the implementation of the Electronic Health Record for FY 2022-23.
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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 (SMMC) 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 These six SMCH divisions utilize multiple, outdated, electronic health record (EHR) systems or paper charts to maintain patient information.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.
On December 6, 2022, this board approved an agreement with Epic Systems Corporation (Epic) to provide a license to its software and to host SMCH associated hardware and data, and implementation services and staff to assist SMCH in building an 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 with: 1) Up-To-Date; 2) Intelligent Medical Objects (IMO); and 3) CareSelect.
DISCUSSION:
The new integrat...
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