Legislation Details

File #: A 26-286    Name: DrFirst.com, Inc Amendment No. 5
Type: BoS Agreement Status: Passed
File created: 6/11/2026 In control: Board of Supervisors
On agenda: 7/7/2026 Final action: 7/7/2026
Title: a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 5 to the agreement (A-13725) with DrFirst.com, Inc. for software licensing and consulting services, extending the agreement an additional three (3) year period (July 1, 2026 through June 30, 2029) for a revised full agreement term of July 1, 2017 through June 30, 2029 and adding $315,420 for a revised total agreement amount not to exceed $1,155,591. b. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three (3) future amendments that do not exceed 10% ($24,900) of the original agreement, do not significantly change the scope of services, and do not increase the total not to exceed amount over $1,180,491.
Attachments: 1. Board Report, 2. DrFirst Amendment No. 5, 3. DrFirst Amendment No. 4, 4. DrFirst Amendment No. 3, 5. DrFirst Amendment No. 2, 6. DrFirst Amendment No. 1, 7. DrFirst Original Agreement, 8. Completed Board Order Item No. 31
Related files: A 23-271, A 20-149, A 17-354, A 19-324
Title
a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 5 to the agreement (A-13725) with DrFirst.com, Inc. for software licensing and consulting services, extending the agreement an additional three (3) year period (July 1, 2026 through June 30, 2029) for a revised full agreement term of July 1, 2017 through June 30, 2029 and adding $315,420 for a revised total agreement amount not to exceed $1,155,591.
b. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three (3) future amendments that do not exceed 10% ($24,900) of the original agreement, do not significantly change the scope of services, and do not increase the total not to exceed amount over $1,180,491.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 5 to the agreement (A-13725) with DrFirst.com, Inc. for software licensing and consulting services, extending the agreement an additional three (3) year period (July 1, 2026 through June 30, 2029) for a revised full agreement term of July 1, 2017 through June 30, 2029 and adding $315,420 for a revised total agreement amount not to exceed $1,155,591.
b. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three (3) future amendments that do not exceed 10% ($24,900) of the original agreement, do not significantly change the scope of services, and do not increase the total not to exceed amount over $1,180,491.

SUMMARY:

DrFirst is a software suite that provides an electronic prescribing (e-prescribing) platform allowing providers to securely transmit prescriptions electronically to pharmacies. The system supports standard and controlled substance prescribing and is integrated into our clinical workflows at Natividad Medical Cente...

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