Title
a. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute an agreement with UpToDate Inc. for Anywhere electronic clinical resource subscription services at Natividad Medical Center for an amount not to exceed $369,347 with an agreement for a retroactive term May 1, 2023 through April 30, 2026.
b. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than 10% ($36,935) of the original cost of the agreement per each amendment, for total contract liability of $480,152.
c. Approve the Natividad Medical Center’s Chief Executive Officer’s recommendation to accept non-standard indemnification, insurance, limitations on liability, and limitations on damages provisions within the agreement.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute an agreement with UpToDate Inc. for Anywhere electronic clinical resource subscription services at Natividad Medical Center for an amount not to exceed $369,347 with an agreement for a retroactive term May 1, 2023 through April 30, 2026.
b. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than 10% ($36,935) of the original cost of the agreement per each amendment, for total contract liability of $480,152.
c. Approve the Natividad Medical Center’s Chief Executive Officer’s recommendation to accept non-standard indemnification, insurance, limitations on liability, and limitations on damages provisions within the agreement.
SUMMARY/DISCUSSION:
Wolters Kluwer Health, Up-To-Date Inc. (UpToDate) is the leading web based clinical research tool that clinicians utilize for their day-to-day review of clinical topics. Natividad Medical Center is a teaching facility, and as such, web-based research is particularly important for medical students and resident education. The user can access the UpToDate system via an internet links embedded within Natividad Medical Center’s Electronic Medical Record (EMR) system, Medical Information Technology, Inc. (MEDITECH). UpToDate is a standalone resource application and there is no data exchanged to or from Natividad Medical Center’s systems with this application.
Currently Natividad Medical Center physicians, residents and medical students have access to Up-To-Date’s web-based research and educational materials online. In addition to research, physicians can receive required individual Continuing Medical Education (CME) credit each time Up-To-Date is logged into and utilized. Annual CME is required by Natividad Medical Center, state and national medical specialty boards thereby aiding Natividad Medical Center and its physicians in keeping current in meeting their continuing medical education requirements. With Up-to-Date access, clinicians are able to “click” on the Up-To-Date icon and are able to research the most recent evidenced based recommendations. As an example, when a physician is on call and must remotely enter antibiotic orders for pneumonia but has a question on the preferred medication, he or she will be able to “click” on the Up-to-Date icon and view the latest recommendation.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this agreement as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The agreement has also been reviewed and approved by Natividad Medical Center’s Finance Committee and by its Board of Trustees on June 9, 2023.
FINANCING:
The cost for this agreement is $369,347 of which $114,886 which is included in the FY 2023-24 Recommended. Amounts for the remaining years of the agreement will be included in those budgets as appropriate.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This agreement facilitates access to critical point of care clinical diagnosis and medication resources that aid in decision making, thereby improving patient care. Additionally, the built-in education system empowers our patients to take an active role in their health and well-being. This system also allows our clinicians and providers to remain current with continuing education requirements.
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Prepared by: Raquel Mojica, IT Business Operations Manager, 831-783-2812
Approved by: Charles R. Harris, Chief Executive Officer, 783-2553
Attachments:
UpToDate Original Agreement
Attachments on file with the Clerk of the Board