County of San Mateo - File #: 23-733

• File #: 23-733
• Version: 1
• Type: Resolution
• Status: Passed
• File created: 6/20/2023
• Departments: HEALTH
• On agenda: 9/12/2023
• Final action: 9/12/2023
• Title: Adopt a resolution authorizing an agreement with Experian Health to transition the Experian Health suite of real-time eligibility software solutions from the agreement with Cerner Health Services, Inc. and to additionally implement the Experian Health ClaimSource claims editing software and management system while combining both services in a single contract, for the term of October 1, 2023, through September 30, 2028 in an amount not to exceed $3,200,000.

Date	Ver.	Action By	Action	Result
9/12/2023	1	BOARD OF SUPERVISORS

To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center

Subject: Agreement with Experian Health for the Implementation of Revenue Cycle Software Solutions Fully Compatible with the Integration with Epic

RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Experian Health to transition the Experian Health suite of real-time eligibility software solutions from the agreement with Cerner Health Services, Inc. and to additionally implement the Experian Health ClaimSource claims editing software and management system while combining both services in a single contract, for the term of October 1, 2023, through September 30, 2028 in an amount not to exceed $3,200,000.

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BACKGROUND:
On November 6, 2018, the Board of Supervisors approved an amendment to the agreement with Cerner Health Services Inc. (Cerner) to add the Experian Health suite of real-time eligibility software solutions. The Experian Health suite provided adequate software tools to support efficient and accurate patient registrations while work continued for a new electronic health record (EHR 2.0). At the time of EHR 2.0 planning, it was determined that Experian was fully compatible with all systems being contemplated by the EHR 2.0 initiative.

Additionally, in April 2023, the Board of Supervisors approved an extension of the agreement with TruBridge, LLC, to continue the provision of a claims editing software and management system while San Mateo Medical Center (SMMC) assessed the need for a Request for Proposals (RFP) to evaluate enhanced features and functionality to optimize the integration with the EHR 2.0 vendor Epic.

DISCUSSION:
With the selection of Epic as San Mateo County Health's (SMCH) new integrated electronic health record system, it is still necessary to utilize Experian Health's real-time eligibil...