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C. 47
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: September  20, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Purchase Order with UpToDate, Inc. for Subscriber Self-Registration

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   09/20/2022
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
ABSENT:
Diane Burgis, District III Supervisor
Contact: Palak Jain, (925) 391-1018
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:     September  20, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE (1) the Purchasing Agent or designee, on behalf of the Health Services Department, to execute a purchase order with UpToDate, Inc. in an amount not to exceed $645,000 for the licensed content of drug-disease databases, and (2) the Health Services Director, or designee, to execute an amendment to the agreement with UpToDate, Inc. to renew the contract term to September 1, 2022 through August 31, 2025.

FISCAL IMPACT:

Approval of this action will result in expenditures of up to $645,000 over the three-year period between September 1, 2022 through August 31, 2025 and will be funded 100% by the Hospital Enterprise Fund I revenues.


BACKGROUND:

Contra Costa Regional Medical Center (CCRMC) utilizes the multiple database platform to assist clinicians with drug utilization and associated costs through the application of advanced analytics. The license provides access to several databases to monitor the drug-disease interaction information service for ambulatory dispensing. The point of care references and embedded drug data solutions are trusted to help elevate quality, reduce costs, and improve patient outcomes.  
  
On May 5, 2015, the Board of Supervisors approved agenda item C.73 to execute a blanket purchase order with UpToDate, Inc. in the amount of $113,975 for a one-year subscription to the online database for the period June 1, 2015 through May 31, 2016.  
  
On June 13, 2017, the Board approved agenda item C.61 to execute a purchase order with UpToDate in an amount not to exceed $146,616 in the period from June 1, 2017 through May 31, 2018.  
  
On August 7, 2018, the Board approved agenda item C.90 to execute a Software Subscription Agreement with UpToDate, Inc. in an amount not to exceed $159,699 for the purchase of online medical information database site licenses for the period June 1, 2018 through May 31, 2019.

  
On March 1, 2022, the Board approved agenda item C.46 to execute purchase order #24593 with UpToDate, Inc. in the amount of $202,601 for the licensed content of the drug-disease databases and execute an amendment to the agreement to extend the contract term to June 1, 2021 through May 31, 2022.  
  
UpToDate, Inc. was selected by the clinicians. It is the only system that integrates with EPIC and provides Continuing Medical Education credits to clinicians. There are no other sources that provide the same goods or services, therefore a sole source justification was completed. CCRMC has used UpToDate, Inc. since 2015. Due to the long relationship, stakeholders approved adjusting the term of the agreement from one year to three years. Approval of the recommended actions will allow the department to renew the contract term to September 1, 2022 through August 31, 2025.  

CONSEQUENCE OF NEGATIVE ACTION:

If this renewal is not approved, the clinical information necessary to enable coordination of care will be limited or not available, and patient care would be jeopardized. Clinicians would not receive Continuing Medical Education credits from UpToDate, Inc. and would need to attend additional training courses.

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