Legislation Details

File #: A 26-143    Name: Manifest MedEx Participation Agreement
Type: BoS Agreement Status: Passed
File created: 4/21/2026 In control: Board of Supervisors
On agenda: 5/12/2026 Final action: 5/12/2026
Title: a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a Nonstandard Participation agreement with Manifest Medex, a California nonprofit public benefit corporation for Electronic Health Information Exchange services at NMC for a maximum County obligation of $150,000 with a not exceed obligation of $30,000 per fiscal year, commencing upon execution and shall remain in effect until terminated as set forth in the Agreement. b. Approve the NMC’s Chief Executive Officer’s recommendation to accept non-standard agreement in its entirety.
Attachments: 1. Board Report, 2. Manifest MedEx Participation Agreement
Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a Nonstandard Participation agreement with Manifest Medex, a California nonprofit public benefit corporation for Electronic Health Information Exchange services at NMC for a maximum County obligation of $150,000 with a not exceed obligation of $30,000 per fiscal year, commencing upon execution and shall remain in effect until terminated as set forth in the Agreement.
b. Approve the NMC’s Chief Executive Officer’s recommendation to accept non-standard agreement in its entirety.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a Nonstandard Participation agreement with Manifest Medex, a California nonprofit public benefit corporation for Electronic Health Information Exchange services at NMC for a maximum County obligation of $150,000 with a not exceed obligation of $30,000 per fiscal year, commencing upon execution and shall remain in effect until terminated as set forth in the Agreement.
b. Approve the NMC’s Chief Executive Officer’s recommendation to accept non-standard agreement in its entirety.

SUMMARY:

Natividad Medical Center has an ongoing need to maintain and enhance its electronic health record system’s health information exchange capabilities. Previously, the Board approved an agreement with Serving Communities Health Information Organization (SCHIO) to provide these services. However, SCHIO terminated their contracted services on December 31, 2025-only a few months after Natividad Medical Center had gone live on their platform-as SCHIO will no longer provide independent health information exchange services. To ensure uninterrupted data exchange and regulatory compliance, Natividad Medical Center is requesting approval to enter into a new agreement with Manifest MedEx, a national health information exchange. Natividad Medical...

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