Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute Amendment No. 3 to the McKesson Master Agreement MA1011350 (“Monterey County Agreement A-11723”) with McKesson Technologies, Inc. for Horizon Medical Imaging Radiology, Picture Archiving and Communication System (PACS) and related systems services at NMC in order to
(1) Upgrade McKesson PACS and add 3D mammography;
(2) Migrate and archive data; and
(3) Upgrade PowerScribe
for the period of May 8, 2018 to June 30, 2019 adding $117,863 ($40,500 for McKesson PACS upgrade and 3D mammography, $47,563 for migration and archiving of data, and $29,800 for PowerScribe upgrade) for a revised total maximum liability under Monterey County Agreement (A-11723) of $4,542,190.
b. Authorize the Deputy Purchasing Agent for NMC 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 ten percent (10%) ($260,000) of the original cost of the agreement per each amendment.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute Amendment No. 3 to the McKesson Master Agreement MA1011350 (“Monterey County Agreement A-11723”) with McKesson Technologies, Inc. for Horizon Medical Imaging Radiology, Picture Archiving and Communication System (PACS) and related systems services at NMC in order to
(1) Upgrade McKesson PACS and add 3D mammography;
(2) Migrate and archive data; and
(3) Upgrade PowerScribe
for the period of May 8, 2018 to June 30, 2019 adding $117,863 ($40,500 for McKesson PACS upgrade and 3D mammography, $47,563 for migration and archiving of data, and $29,800 for PowerScribe upgrade) for a revised total maximum liability under Monterey County Agreement (A-11723) of $4,542,190.
b. Authorize the Deputy Purchasing Agent for NMC 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 ten percent (10%) ($260,000) of the original cost of the agreement per each amendment.
SUMMARY/DISCUSSION:
NMC has a Picture Archive and Communication System (PACS) which consists of computer hardware and software assembled for the storage, distribution, and presentation of digital radiographic images. The software upgrade will bring PACS to the newest version by upgrading the current version of 12.0 to 12.1. The upgrade will include a 3D mammography package. The 3D mammography package was unavailable on earlier versions. The 3D mammography package will allow the radiologists to integrate 3D mammography reading into their normal PACS workflow; rather than using the 3D mammography workstation associated with the 3D mammography equipment.
NMC will incorporate a data migration with the upgrade. Digital Imaging and Communications in Medicine (DICOM) images take a large amount of storage space. As the imaging department increases in volume there is a need to archive old images into a separate data space to allow for new images. If the data storage reaches its maximum, the new images will overwrite older images resulting in a loss of old images.
The Imaging department uses PowerScribe, a dictation software. The current dictation software NMC is using is an old version. NMC received notification from the vendor that the end of life term for the current software platform ended on December 31, 2017, requiring NMC to upgrade to the current software version.
This Amendment will allow for the:
• Upgrade of Mckesson PACS and adding 3D Mammography
• Migration and archiving of data
• Upgrading PowerScribe
On a separate note, McKesson Technologies PACS Amendment No. 2 was inadvertently labeled and submitted as Amendment No. 3 to the Board of Supervisors for approval on the 29th day of July 2014. For clarification purposes, this item is the 3rd Amendment to the McKesson Technologies PACS original agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this agreement as to legal form only, and the Auditor-Controller has reviewed and approved as to payment provisions. The agreement has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on February 2, 2018.
FINANCING:
The cost for this agreement is $117,864, which is included in the Fiscal Year 2017-18 Adopted Budget. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This agreement is for a software system which improves data processing at NMC. The use of this system directly contributes to a more efficient and effective use of resources within the organization.
__ Economic Development
X Administration
__ Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Heidi Dormody, Laboratory and Radiology Manager, 772-7660
Approved by: Gary R. Gray, DO, Chief Executive Officer, 783-2504
Attachments:
McKesson Technologies PACS Amendment No. 3 (Order Form Contract Numbers IWS-258946 and IWS-224282)
McKesson Technologies PACS Amendment No. 2
McKesson Technologies PACS Amendment No. 1
McKesson Technologies PACS Original Agreement
Attachments on file with the Clerk of the Board