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Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Patagonia Health, Inc. for services provided under Amendment I to Agreement 407 (209-S1711) for the provision of Electronic Patient Health Record and Medical Billing software because “(B) “Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;”
2) Approve and authorize the Chair to sign Amendment I to Agreement for Services 407 (209-S1711) with Patagonia Health, Inc., in the amount of $150,000, for a new Maximum Obligation of $465,475, with no change to the term of the Agreement; and
3) Authorize the Director of HHSA, or designee, to execute further documents relating to Agreement 407 (209-S1711), contingent upon approval by County Counsel and Risk Management, including amendments which do not increase the maximum dollar amount or term of the Agreement.
FUNDING: 100% Federal (Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases Enhancing Detection Grant).
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DISCUSSION / BACKGROUND:
On December 13, 2016 (File 16-1192), The Board of Supervisors authorized the Health and Human Services Agency (HHSA) to enter into an Agreement with Patagonia Health, Inc., for the purchase of software licenses, support, and implementation of Electronic Patient Health Record (EHR) and Medical Billing software, for Public Health Nursing, for the term effective upon execution and to continue for a period of five (5) years from the date thereof, with a maximum contractual obligation of $315,475. Amendment I to Agreement 407 (209-S1711) is necessary to add on-site system analysis services in the amount of $18,000 for the purpose of evaluating how the software and overall service has been working for Public Health Nursing, as well as discussing needs in regard to ongoing use of the EHR and review of additional solutions. Amendment I also includes an additional increase of $132,000, which will allow Public Health to purchase any necessary or recommended service enhancements through approved Work Orders. HHSA will receive up to an $8,000 credit for any additional purchases made before December 31, 2021.
Currently, not all staff are using the Patagonia EHR software. Upon conclusion of discussions and on-site analysis by Patagonia, Public Health is, at a minimum, considering purchasing a module for Maternal Child Adolescent Health (MCAH) which is currently tracking its clients in Excel. Additionally, the Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) Enhancing Detection Grant will fund additional training and customizations, which will give Public Health more effective COVID-19 data reporting thereby improving data infrastructure for COVID-19 and other emerging infections.
ALTERNATIVES:
Should the Board decline to approve this Amendment, HHSA would not have the opportunity to analyze with Patagonia Health how the EHR solution is working for Public Health Nursing or discuss and purchase additional system solutions.
PRIOR BOARD ACTION:
12/13/16, 16-1192, Approval and Execution of Agreement 407 (209-S1711)
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Risk Management, and Human Resources.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
The Original Agreement is Federal and State funded. Amendment I is funded 100% by Federal (ELC Enhancing Detection Grant) funding. There is no Net County Cost associated with this Agenda item. Sufficient appropriations were included in the Fiscal Year 2021-22 budget.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Agreements for Services #407 (209-S1711), Amendment I.
2) Clerk of the Board to return one (1) fully executed Agreements for Services #407 (209-S1711), Amendment I to HHSA Contracts Unit at 3057 Briw Rd, Suite B.
STRATEGIC PLAN COMPONENT:
N/A
CONTACT
Don Semon, Director, Health and Human Services Agency