File #: 22-1420    Version: 1
Type: Agenda Item Status: Approved
File created: 7/27/2022 In control: Board of Supervisors
On agenda: 9/13/2022 Final action: 9/13/2022
Title: Health and Human Services Agency (HHSA) recommending the Board: 1) Make findings that the provision of Electronic Patient Health Record and Medical Billing software services provided by Patagonia Health, Inc. are in the public's best interest and that there are specialty skills, qualifications, and equipment not expressly identified in County classifications involved in the performance of the work in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(B), El Dorado County Charter, Section 210(b)(6), and/or Government Code Section 31000; 2) Approve and authorize the Chair to sign Amendment III to Agreement for Services 407 (209-S1711) with Patagonia Health, Inc., increasing the not-to-exceed amount by $275,000, for a new maximum contractual obligation of $1,027,071, with no change to the term of the Agreement; and 3) Authorize the HHSA Director, or Public Health Director, to execute further documents relating to Agreement 407 (209-S1711), contingent upon approval by County...
Attachments: 1. A - Approved CRS #407-A3 Patagonia Health 09/13/22, 2. B - #407-A3 Patagonia Health 09/13/22, 3. C - # 407 FE Original +Amdts I-II 09/13/22, 4. Executed Agreement 407-A3
Related files: 21-0946, 16-1192, 21-1159
Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings that the provision of Electronic Patient Health Record and Medical Billing software services provided by Patagonia Health, Inc. are in the public's best interest and that there are specialty skills, qualifications, and equipment not expressly identified in County classifications involved in the performance of the work in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(B), El Dorado County Charter, Section 210(b)(6), and/or Government Code Section 31000;
2) Approve and authorize the Chair to sign Amendment III to Agreement for Services 407 (209-S1711) with Patagonia Health, Inc., increasing the not-to-exceed amount by $275,000, for a new maximum contractual obligation of $1,027,071, with no change to the term of the Agreement; and
3) Authorize the HHSA Director, or Public Health Director, 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 compensation or extend the term of the Agreement.

FUNDING: 100% Federal and State funding.
Body
DISCUSSION / BACKGROUND:
Electronic Medical Records Systems (EMRs) electronically house notes and information on clients seen by Public Health nursing staff. EMRs also allows the department to run reports to evaluate services and target interventions. On December 13, 2016 (File 16-1192), the Board of Supervisors authorized 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 a five (5) year term of December 13, 2016, through December 12, 2021, with a maximum contractual obligation of $315,475.

Amendment I to Agreement 407 (209-S1711), approved and executed on September 21, 2021, provided for additional on-site system gap analysis ...

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