Agenda

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C.127

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	January 10, 2012

Contra

Costa

County

Subject:

Waiver of Administrative Bulletin #611

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/10/2012

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

ABSENT:

Gayle B. Uilkema, District II Supervisor

Contact:	David Runt 313-6220
cc:	Tasha Scott D Gary David Runt John Buckhalt

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 10, 2012
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

WAIVE the requirements of Administrative Bulletin #611, Section III. B. and approve and authorize the Purchasing Agent, on behalf of the Health Services Department, to execute purchase orders to be paid with specified funds, in an aggregate amount not to exceed $950,000, with vendors to be selected by the Purchasing Agent, for various equipment to implement and support the Epic electronic health record system during the two year term from January 10, 2012 through December 31, 2013.

FISCAL IMPACT:

This Purchase order is fully funded by (a) the Medicare & Medicaid Electronic Health Records (EHR) Incentive Program of the American Recovery & Reinvestment Act (ARRA) and (b) the Delivery System Reform and Incentive Pool (DSRIP) funding. No County funds required.

BACKGROUND:

Administrative Bulletin #611 requires departments, among other things, to seek Board of Supervisors approval for all purchase order requisitions over $100,000. The Department of Health Services is seeking a waiver of this requirement to meet necessary timeframes duirng the implementation of the Epic Electronic Health Record system.

Contra Costa Regional Medical Center (CCRMC) and Health Clinics will require the purchase of computer carts, wall mounted devices for computers and monitors, handheld scanners, and other hardware devices as needed for the implementation and support of the Epic Electronic Health Record (EHR) system. The actual selection of the various devices is based on the available physical space in the hospital and clinics. The selection and evaluation process is currently underway.

The Purchasing Agent will authorize the actual vendor(s) selection based on existing Purchasing guidelines.

Approval of this recommendation will allow the Purchasing Agent to make the required purchases when needed, under the authority the Purchasing Agent has by statute and under the ordinance code, without going to the Board for separate approval as required by the Administrative Bulletin. Other approval requirements outlined in the Administrative Bulletin are not waived and the Department will continue to seek approvals as required.

CONSEQUENCE OF NEGATIVE ACTION:

If this purchase is not approved we will not be able to take maximum advantage of the technologies available through the Epic EHR.

CHILDREN'S IMPACT STATEMENT:

Not Applicable.