COUNTY OF SAN MATEO

Inter-Departmental Correspondence

 

Health System

 
 

DATE:

March 20, 2009

BOARD MEETING DATE:

April 14, 2009

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

   

FROM:

Jean S. Fraser, Chief, Health System

 

Brian J. Zamora, Director, Community Health

   

SUBJECT:

Amendment One to Agreement 67995 with Telcor, Incorporated

 

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute Amendment One to the Agreement with Telcor, Incorporated for laboratory billing computer software maintenance services increasing the maximum amount by $68,000 from $262,284 for a new maximum of $330,284, and extending the term by three years for a new term of May 1, 2006 through April 30, 2012.

 

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal 5: Residents have access to healthcare and preventive care.


This Agreement contributes to this goal by providing an up-to-date, efficient laboratory information system that will allow patient test results to be available to clinicians more rapidly and with greater accuracy.

 

Performance Measure:

Measure

FY 2007-08
Actual

FY 2008-09
Projected

Average number of days to have test results for the Gonorrhea/Chlamydia laboratory test

2.2

2.2

 
 
 

BACKGROUND:

In order to provide an efficient laboratory information system and billing module for the Public Health Laboratory (PHL) a Request for Proposals was issued by the Information Services Department in Fall 2005. Orchard Software Corporation was selected to provide the Laboratory Information System because it meets the requirements for clinical testing, including testing for sexually transmitted diseases. It also best meets the requirements for environmental testing, which includes water sampling and vector identification, such as testing ticks for Lyme Disease; and Telcor, Inc was selected to provide the billing module because it was the best complementary system to Orchard. On May 23, 2006, your Board approved an Agreement with Telcor, Inc. to provide a laboratory billing computer software system and software maintenance services to the PHL for the term of May 2006 through April 2009.

 

DISCUSSION:

In order to continue to provide continuity and accountability of an efficient laboratory information system and billing module it is necessary to amend the Agreement with Telcor, Inc. The amount increased is to fund the current cost for software maintenance services only and is on average $22,000 per year. The Agreement with Orchard Software Corporation is also being amended and presented to your Board. The PHL is fully benefiting from the services and the services meet Information Services Department’s standard for interoperability. The Amendment will extend the term for three years and increase the maximum amount.

 

The County Manager has approved a waiver to extend the contract term beyond three years and a waiver of the equal benefits requirement. Telcor, Inc. is located in Nebraska. Nebraska law does not currently recognize domestic partners, and consequently does not have a Nebraska domestic partners registry; therefore, Telcor, Inc. is unable to comply with the County's Equal Benefits Ordinance.

 

This Amendment to the Agreement has been reviewed and approved by the Information Services Department and Risk Management. County Counsel has reviewed and approved this Amendment and Resolution as to form. The Amendment includes all provisions, except the equal benefits ordinance, that are required by county ordinance and administrative memoranda, including but not limited to insurance, hold harmless, and non-discrimination.

 

FISCAL IMPACT:

The new term of the Agreement is May 1, 2006 through April 30, 2012. The maximum obligation is increased by $68,000 from $262,284 to a new maximum obligation of $330,284. The maximum amount for FY 2009-10 is $21,546 and has been included in the Community Health FY 2009-10 Recommended Budget. Similar arrangements will be made for FY 2010-11 and FY 2011-12.