Title
a. Approve and authorize the Director of Health or Assistant Director of Health to sign an Amendment No. 1 to the Agreement with Wolters Kluwer Health, UpToDate, Inc. to provide an UpToDate Anywhere Electronic Clinic Resources Subscription, adding $56,880 for a total contract amount not to exceed $75,840.00 and adding three (3) years for a revised full term of November 1, 2015 to October 31, 2019; and
b. Accept the recommendations of the Director of Health regarding modifications to the insurance provisions in the Agreement.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to sign an Amendment No. 1 to the Agreement with Wolters Kluwer Health, UpToDate, Inc. to provide an UpToDate Anywhere Electronic Clinic Resources Subscription, adding $56,880 for a total contract amount not to exceed $75,840.00 and adding three (3) years for a revised full term of November 1, 2015 to October 31, 2019; and
b. Accept the recommendations of the Director of Health regarding modifications to the insurance provisions in the Agreement.
SUMMARY/DISCUSSION:
Wolters Kluwer Health, UpToDate, Inc. (UpToDate) is the leading web based clinical research tool utilized in clinic to obtain answers to clinical questions, including the latest evidence, and provides for specific, practical recommendations for diagnosis and treatment.
Approval of the recommended action will provide Health Department Clinic Services physicians and mid-levels continued access to this valuable resource tool in providing current and up to date medical information and resources at the point of patient care. Included in this contract, at no additional cost, is the functionality of UpToDate Anywhere. This enhancement will allow for physician and mid-level access to UpToDate from any internet-enabled device including desktop computers, laptops, and mobile devices.
Since 2007, the Health Department has contracted with UpToDate utilizing UpToDate’s Agreement. For the renewal signed in 2015, UpToDate agreed to sign the County’s Standard Agreement with modification to the insurance requirements. Risk reviewed and was not able to approve the deletion of Section 9.04. The Contractor has provided proof of commercial general liability and automobile liability, but cannot provide the contract required additional insured and primary and non-contributory endorsements. The Health Department recommends moving forward as this is an internet based subscription service that will not require on-site training or assistance.
While this work is not directly in support of a Health Department strategic initiative, it is in support of one or more of the ten essential public health services, specifically to inform, educate, and empower people about health issues.
OTHER AGENCY INVOLVEMENT:
County Counsel, the Auditor-Controller and Contracts/Purchasing have reviewed and approved the Agreement. Risk Management has reviewed and cannot approve the deletion of the County standard insurance requirement.
FINANCING:
Sufficient funds are available in the Clinic Services Bureau, Health Department FY2016-17 Adopted Budget 4000-HEA007. There is no financial impact to the General Fund resulting from approval of this Agreement.
Prepared by: Sheena Morales, Management Analyst, 1393
Approved by: Elsa Jimenez, Director of Health, 4526
Attachments:
Amendment No. 1 is on file with the Clerk of the Board
Agreement is on file with the Clerk of the Board