Title
Consider recommendations regarding Amendment No. 2 to the Participation Agreement with California Mental Health Services Authority (CalMHSA) for Semi-Statewide Enterprise Health Record (EHR) Program Services for Fiscal Years (FYs) 2022-2029, as follows:
a) Approve, ratify, and authorize the Chair to execute an Amendment No. 2 to the Participation Agreement with CalMHSA for the Semi-Statewide EHR Program (Contract No. 1766-EHR-2022-SB) to increase user subscriptions for the core EHR package, high-availability access, and disaster recovery components; add required American Medical Association (AMA) license rights to use healthcare industry standard medical coding; update the 3% escalator fee amount starting Fiscal Year (FY) 2026-2027; add new Artificial Intelligence (AI) note-taking and compliance components; move funds from Contingency Funds to Committed Funds in the amount of $436,920.00 for the increased user subscriptions, effective on November 1, 2024; move funds from Contingency Funds to Committed Funds in the amount of $142,300.00 for the AMA license rights, effective on January 1, 2025; move funds from Contingency Funds to Committed Funds in the amount of $250,212.00 for an update to the 3% escalator fee, effective on July 1, 2026; move funds from Contingency Funds to Committed Funds in the amount of $174,018.00 for the new components; add $200,000.00 to the Contingency Funds for future purchases and orders; add an order form template for future orders of products and services, resulting in an increase to the contract amount by $200,000.00 for a revised total maximum contract amount not to exceed $7,629,192.00 and no change to the contract term of upon execution of the contract through March 18, 2029;
b) Delegate to the Director of the Department of Behavioral Wellness or designee the authority to utilize Contingency Funds for the purchase of additional components, modules, implementations, users related to the EHR program and execute Order Forms for such purchases, all without altering the maximum contract amount and without requiring the Board of Supervisors’ approval of an amendment of the Agreement, subject to the concurrences of Executive IT Council, Auditor-Controller, Risk Management, and County Counsel and the Board of Supervisors’ ability to rescind this delegated authority at any time; and
c) Determine that the above-recommended actions are not projects that are subject to environmental review under the California Environmental Quality Act (CEQA), pursuant to CEQA Guidelines section 15378(b)(4) and (b)(5), finding that the actions are a governmental funding mechanism and/or administrative or fiscal activity that will not result in direct or indirect physical changes in the environment.