Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute renewal and amendment No.2 to the agreement (A-13426) with UpToDate Inc. for Anywhere electronic clinical resource subscription services, extending the agreement an additional one (1) year period (retroactive to March 1, 2020 through February 28, 2021) for a revised full agreement term of December 1, 2016 through February 28, 2021, and adding $85,690 for a revised total agreement amount not to exceed $335,838.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute renewal and amendment No.2 to the agreement (A-13426) with UpToDate Inc. for Anywhere electronic clinical resource subscription services, extending the agreement an additional one (1) year period (retroactive to March 1, 2020 through February 28, 2021) for a revised full agreement term of December 1, 2016 through February 28, 2021, and adding $85,690 for a revised total agreement amount not to exceed $335,838.
SUMMARY/DISCUSSION:
Wolters Kluwer Health, Up-To-Date Inc. (UpToDate) is the leading web-based clinical research tool that clinicians utilize for their day to day review of clinical topics. NMC is a teaching facility, and as such, web-based research is particularly important for medical students and resident education. The user can access the UpToDate system via an internet links embedded within NMC’s Electronic Medical Record (EMR) system, Medical Information Technology, Inc. (MEDITECH). UpToDate is a standalone resource application and there is no data exchanged to or from NMC systems with this application.
Currently NMC physicians, residents and medical students have access to Up-To-Date’s web- based research and educational materials online. In addition to research, physicians can receive required individual Continuing Medical Education (CME) credit each time Up-To-Date is logged into and utilized. Annual CME is required by NMC, state and national medical specialty boards; thereby aiding NMC and its physicians in keeping current in meeting their continuing medical education requirements. With Up-to-Date access, clinicians can “click” on the Up-To-Date icon and can research the most recent evidence based recommendations. As an example, when a physician is on call and must remotely enter antibiotic orders for pneumonia but has a question on the preferred medication, he or she will be able to “click” on the Up-to-Date icon and view the latest recommendation.
This amendment will extend the term an additional year. There is no change to the services provided.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel reviewed and approved this renewal and amendment No. 2 as to form, and the Auditor-Controller reviewed and approved as to payment provisions. The renewal and amendment No. 2 was reviewed and approved by NMC’s Finance Committee on February 27, 2020 and by its Board of Trustees on March 13, 2020.
FINANCING:
The cost for this renewal and amendment No. 2 is $85,690, which is included in the Fiscal Year 2019-20 Adopted Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This agreement facilitates access to critical point of care clinical diagnosis and medication resources that aid in decision making, thereby improving care provided to Monterey County residents. The system also allows clinicians to remain current with continuing education requirements.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Charles Harris, MD, Chief Medical Information Officer, 783-2785
Approved by: Gary R. Gray, DO, Chief Executive Officer, 783-2553
Attachments:
UpToDate Renewal and Amendment 2
UpToDate Amendment 1
UpToDate Agreement
Attachments on file with the Clerk of the Board