Agenda

Return

C. 61

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	October 4, 2022

Contra

Costa

County

Subject:

Purchase Order with Kovarus, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/04/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:

Adrian Briones, 925-723-1199

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: October 4, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Purchasing Agent or designee to execute, on behalf of the Health Services Director, a Purchase Order with Kovarus, Inc. in an amount not to exceed $466,085 to renew Citrix support and maintenance services for the period from October 31, 2022 through October 30, 2023, and to agree to the Citrix License Agreement and Support Terms with Citrix Systems, Inc.

FISCAL IMPACT:

Approval of this action will result in expenditures of up to $466,085 and will be funded 100% by Hospital Enterprise Fund I revenues.

BACKGROUND:

The Epic Electronic Health Record (EHR) system requires the use of Citrix Terminal Services. Citrix software allows Health Services Department (HSD) staff access to Epic EHR system using published applications, which are the method of application delivery that Citrix enables. It allows installation of the application on a few servers and publishing the application to thousands of virtual desktop machines for telehealth. Citrix improves remote access to Epic EHR. The Health Services Department (HSD) is renewing the annual subscription for Virtual Apps and Desktop Premium Edition, and Citrix ADC hardware Appliance maintenance services to comply with Epic requirements.

This action is a renewal of Citrix services under the vendor name Kovarus, Inc. Citrix has authorized sellers who limit the amount of vendors able to sell their products. Attempting to replace Citrix would create a substantial cost and take significant time to find a suitable replacement. There would also be a substantial cost for training, which would make the bid unjustifiable. As this is also a mandate by Epic, any replacement would need Epic's approval.

On October 5, 2021, the Board approved agenda item C.38 to execute purchase order #23645 with Kovarus in the amount of $373,313 to renew Citrix licenses and support and maintenance services for the period from October 31, 2021 through October 30, 2022.

Approval of this request will allow the department to renew Citrix licenses and support and maintenance services through October 30, 2023.

CONSEQUENCE OF NEGATIVE ACTION:

Without ongoing maintenance, support and technical assistance from Citrix, HSD’s critical infrastructure would not be covered in the event of a hardware, software, or technical issue. This will result in EHR accessibility issues and potential connectivity failures.