Agenda

Return

C. 84

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	December 13, 2022

Contra

Costa

County

Subject:

Contract #23-775 with The Staywell Company, LLC.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/13/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

John Gioia, District I Supervisor

Contact:	Patrick Wilson, 925-335-8777
cc:	F Carroll

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: December 13, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #23-772 with The Staywell Company, LLC, a limited liability company, in an amount not to exceed $473,561, for hosted content, products, and services regarding patient education for Contra Costa Health Services for the period from December 15, 2022 through December 14, 2027.

FISCAL IMPACT:

This contract will result in contractual service expenditures of up to $473,561 over a 5-year period and will be funded 100% by Hospital Enterprise Fund I revenues. (Rate increase)

BACKGROUND:

This contract meets the needs of Contra Costa Health Services (CCHS) by providing Fast Healthcare Interoperability Resources (FHIR). Krames On FHIR® is a patient education platform combining an application and solution suite delivering education to clinicians and patients at the point of care where it has the best chance to help improve patient outcomes. Krames On FHIR® will replace Krames On-demand (expiring December 15, 2022) and Elsevier ExitCare as the two vendors from where CCHS currently sources patient-facing education. CCHS Leadership is moving to Krames On FHIR® to synthesize patient education within the department, encouraging all CCHS divisions to use the same tool for patient-facing education. The Contra Costa Health Plan and Public Health divisions are already in accord with this goal. CCHS began contracting with this vendor in 2005. The Order Form executed under this contract replaces and supersedes the Content License Agreement dated October 25, 2005, between The StayWell Company, LLC and Contra Costa Health Services, and the License Agreement dated May 22, 2009, between wired.MD, Inc and Contra Costa Regional Medical. The Terms and Conditions and Order Form executed under this contract govern the annual license fees and the use and display of the content for the applicable products.

CCHS Nursing staff performed the outreach necessary prior to selecting Krames On FHIR® for its capability to sufficiently fulfill all patient-facing education. Nursing leadership, the Professional Development Department, and the Office of Informatics and Technology reviewed and compared two platforms - El Sevier (ExitCare) and Krames On FHIR®, and approved to standardize patient education with Krames On FHIR®.

Approval of new Contract #23-775 allows the contractor to provide content and product hosting services through December 14, 2027.

The County may only terminate the contract for (1) Staywell’s uncured breach of the contract, or (2) the Board of Supervisors’ failure to appropriate funds for amounts due under the contract. Under the contract, the County is obligated to indemnify Staywell for: any failure of the County to obtain patient consent to receive messaging from Staywell; claims arising out of any content furnished by County for use with the Staywell services; the negligent acts of the County; and the County’s breach of the terms of the contract.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, CCHS will lose its ability to provide patient education as the current contract for Krames On-Demand is set to expire, and a renewal contract for ExitCare is no longer in pursuit. In the ongoing objective to improve patient care and outcomes, the departmental goal is to have one patient educational application for all CCHS.