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Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute Amendment No. 2 to the Agreement (A-11891) with Versaworks Inc. for Professional Information Technology Services at NMC, extending the Agreement to June 30, 2013 and adding $1,845,750 for Fiscal Year (FY) 2012-13 for a revised total Agreement amount not to exceed $5,078,650 in the aggregate.
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RECOMMENDATION:
It is recommended the Board of Supervisors Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute Amendment No. 2 to the Agreement (A-11891) with Versaworks Inc. for Professional Information Technology Services at NMC, extending the Agreement to June 30, 2013and adding $1,845,750 for Fiscal Year (FY) 2012-13 for a revised total Agreement amount not to exceed $5,078,650 in the aggregate.
SUMMARY/DISCUSSION:
As NMC continues to enhance its information technology capabilities in the Electronic Medical Record and IT infrastructure, a need has been identified for additional technical clinical and non-clinical resources. The recommendation is to engage Versaworks, a company with a strong reputation for providing highly competent information technology services. Versaworks was first contracted by NMC in November of 2010. Accomplishments' to date include.
Business Applications Interoperability & Integration
* Picis reconfiguration and optimization for Inpatient, Outpatient and Moderate Sedation
redesign. Implemented e-signature for Case Records, created custom reports and new
case record. Working on process development for materials to interface into Picis where
they can be tracked and transmitted back to Meditech for billing: (July 2011-current)
* Streamlined CGI Advantage ERP notification process for Accounting and Material
Management (July 2011)
* Implemented backup solution for Blood Bank History (March, 2012 - April, 2012)
* Configured Nighthawk VPN tunnel for direct PACS study access bypassing SVR as a
dependency to Nighthawk for third party viewing of radiology images. Established direct
connectivity with SVR and NMC PACS systems through a site to site VPN tunnel. This
allows NMC and SVR to send and receive studies between NMC and SVR bypassing
Radworks when situations require such as Radworks outages. (July 2011 - Aug 2011)
* Deployed PICIS OR manager to 74 mobile workstations (Oct 2011)
Clinical Business Applications Implementation & Rollout
* Implemented HIPAA 5010 Standard for electronic transmission of health care
transactions - Prerequisite for ICD-l0.
* ICD-l0 project preparation and planning - Formed project team, currently performing
vendor analysis for documentation, financial impact, education assessments and training
tools. (Feb 2012 to On-going)
* Complete Ambulatory Management RFP including vendor analysis and vendor selection
process (Aug 2011 - March 2012)
* Meaningful Use (Stage 1) - On track to complete 14 Core Measure and 5 Menu Set
Measures which includes 15 Clinical Quality Measures - Goal is to attest to Medicaid
Meaningful Use Stage 1 in June 2012. (July 2011 to Current)
* Rolled out Pre-Newborn registration to ensure newborns have an assigned account
number prior to birth. (Aug2011 - Feb 2012)
IT Infrastructure and Business Applications Implementation
* Migrated entire NMC virtual infrastructure and virtual desktop infrastructure (VDI) to
HP Blade Environment. New blade environment provides highly available and
redundant computing capacity for 240 CPUs and 1.4TB of RAM. NMC is currently
running over 250+ Virtual machines, and decommissioned over 4 full server rack
cabinets, 300 pieces of copper Ethernet, and 80 physical servers. (July 2011 to current)
* Upgraded NMC virtual infrastructure and virtual desktop infrastructure from vSphere 4
to vSphere 5. NMCs internal CLOUD environment now uses the latest and most
advanced cloud computing product available worldwide. vSphere 5 brings a whole host
of new features including support for windows 7 aero for VDI, Storage DRS for real-time
storage resource load balancing, and enhanced security such as built-in hypervisor
firewalls. (July 2011 to current)
* Finished Wireless deployment of Cisco Wireless Control System, 4 wireless controllers,
1 wireless guest anchor controller, 1mobility services engine, and over 176 lightweight
wireless access points. Implemented to scale building diagrams for wireless coverage
tracking with heatmaps. Implemented location services for real-time tracking of all
wireless devices. Resolved all major interference issues in clinical areas such as ER and
LDU. (Jan 2011 to Nov 2011)
* Managed the roll out of OnBase enterprise content management systems at BAR, Admin
and Records & Retention (July 2011 - on-giong)
* Managed and supported with building the new Records and Retention function at
Natividad (July 2011 - on-going)
* Managed the Implementation of Virtual Desktop Infrastructure (VDI) for workstation
hardware refresh project. Replaced and virtualized 130 workstations across various
departments such as SPC, ADM, BAR, LDU, OPT, MDR and training rooms (July 2011
to on-going)
* Managed the upgrade of the Kronos Timekeeping to version 6.2 (July 2011)
Datacenter Implementation
* Implemented Meditech IDR backups. Reduced recovery point objective "RPO" from 24
hours to 4 hours on all Meditech systems. (July 2011 to current)
* Deployed redundant storage area network (SAN) for fiber channel connectivity and
Netapp FAS3140 Filers providing 64 TB of usable storage. (July 2011 - Sept 2011)
* Configured new T1 circuit and T1 extension for HCIN (Health Care Interpreter Network)
MPLS network upgrade. Provided NMC remote connectivity to the HCIN network.
Configured T1 crossover for HCIN to NMC's new VOIP System for incoming interpreter
calls. (Jan 2012 - Mar 2012)
* Reconfigured NMC Wireless infrastructure to support VOIP. Provided wireless
connectivity and voice connectivity for over 70x 7925 Cordless/wireless Phones.
* Stood up and configured 2x HP C7000 Blade chassis for future virtual infrastructure and
virtual desktop infrastructure clusters. (Nov 2011 - Dec 2011)
* Configured multicast routing across the enterprise to support features such as UCS music
on hold, cisco video conferencing, Tandberg video conferencing and multicast software
deployment (Oct 2011 - Dec 2011)
* Staged/configured/built all UCS hardware for VOIP deployment. Performed datacenter
consolidation and cleanup of MDF and Datacenter for VOIP project. (July 2011 -
current)
* Information Systems Security
* Implemented enterprise wide Quality of Service (QOS) across 150 network infrastructure
devices and over 2000+ switch ports. Ensured mission critical performance guarantees
for critical voice traffic. (Aug 2011 - Dec 2011)
* Configured Application and service level monitoring through Orion Server & Application
Monitor. NMC now proactively monitors over 50 network applications running on
application servers, database servers, and web servers. This enables NMC IT to respond
to application outage conditions before the customer reports errors. (Jan 2012 - April
2012)
* Built and configured Infant Security private network for new Infant security system (July
2012)
* Coordinated an external IT security assessment being conducted by RedSpin (Jan 2012 -
on-going)
IT Operations Management
* Provided day-to-day operational guidance and oversight on all infrastructure and
hardware-related projects (July 2011 to current)
* Provided strategic guidance and oversight on clinical and non-clinical application-related
projects (July 2011 to current)
* Completed remote data center technical architecture and vendor selection process (July
2011 to current)
* Implemented new Tiered-level Helpdesk support structure and process (July 2011 - Sept
2011)
* Led IT team to achieve high customer satisfaction scores from NMC internal survey.
(July 2011 - January 2012)
Clinical Reporting platform development
* Built new Meditech Data Repository (DR) server. Provided highly scalable and highly
available SQL database server environment for Meditech data warehousing purposes.
Reduced query time from minutes to seconds. (July 2011 - April 2012)
* Rolled out new Contract Management Dashboard and data entry tool for contract tracking
(Dec 2011 - March 2012)
* Developed new report dashboard for Daily Census (July - Sep 2011)
* Develop custom reports for Picis
* Develop custom reports dashboard for ATB (Aged Trial Balance) for BAR (Mar 2102 -
April 2012)
* Develop new Report dashboard for Admitting (July 2011 - Sept 2011)
* Completed the software development for porting EPIC/Meditech Lab interface backend
to Microsoft SQL (Oct 2011 - Dec 2011)
* Systems and Application Monitoring
* Systems and Application Monitoring was not implemented as NMC decided to delay the
purchase and implementation of the Microsoft System Center Operations Manager
(SCOM) software.
IT Infrastructure Implementation
* Deployed LANDesk imaging and operating system deployment software. Helpdesk
technicians can now reimage or provision any machine whether a workstation or a laptop
from anywhere on our network. This greatly reduced the manual intervention required to
bring machines into compliance or provisioning new hardware for all departments. (July
2011 - Current)
* Implemented and deployed additional Numara instances for Admin Rounding and
Records & Retention (July 2011 - Jan 2012)
* Implemented LANDesk system management software on over 1000 workstations.
Provided asset/inventory management, license management, software management, and
security remediation. (July 2011 - Aug 2011)
Over the next year, Versaworks will provide both clinical and non-clinical technical resources which will include but not be limited to: principle solutions architect, clinical IT project manager, data center implementation engineer, network & security architect, data warehouse engineer and IT systems implementation specialist - please see attached Statement of Work (SOW) for more detail.
Versaworks is committed to NMC's long range IT roadmap and by engaging Versaworks, important strategies and goals will be met.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The cost for this Amendment is $1,845,750 and is included in the Fiscal Year 2012/2013 Recommended Budget. There is no impact to the General Fund.
Prepared by: Jim Fenstermaker, Chief Information Officer, 783-2559
Approved by: Harry Weis, Chief Executive Officer, 783-2553
Attachments: Agreement, Amendments 1 and 2.