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File #: 25-0373    Version: 1 Name:
Type: Approval Status: Consent Agenda
File created: 4/17/2025 In control: Behavioral Health and Recovery Services
On agenda: 5/6/2025 Final action:
Title: Approval of Sixth Amendment to Agreement No. BOS-22-129 with Netsmart Technologies, Inc. in the Amount of $152,978.76 for a New Agreement Total of $2,173,810.41, to Provide Electronic Health Record Databases for Mendocino County Health Services, and Social Services, Effective July 1, 2022, through June 30, 2026
Attachments: 1. Proposed Amendment

To:  BOARD OF SUPERVISORS

From:  Behavioral Health and Recovery Services

Meeting Date:  May 6, 2025

 

Department Contact:  

Jenine Miller, Psy.D.

Phone: 

707-472-2341

 

Item Type:   Consent Agenda

 

Time Allocated for Item: N/A

 

 

Agenda Title:

title

Approval of Sixth Amendment to Agreement No. BOS-22-129 with Netsmart Technologies, Inc. in the Amount of $152,978.76 for a New Agreement Total of $2,173,810.41, to Provide Electronic Health Record Databases for Mendocino County Health Services, and Social Services, Effective July 1, 2022, through June 30, 2026

End

 

Recommended Action/Motion:

recommendation

Approve sixth amendment to Agreement No. BOS-22-129 with Netsmart Technologies, Inc. in the amount of $152,978.76 for a new Agreement total of $2,173,810.41 to provide Electronic Health Records databases for Mendocino County Health Services, and Social Services, effective July 1, 2022 through June 30, 2026; authorize the Director of Health Services or designee to sign any future amendments to the Agreement that do not affect the annual maximum amount; and authorize Chair to sign same.

End

 

Previous Board/Board Committee Actions:

June 7, 2022. Item 3(s) Approval of Agreement No. BOS 22-129

January 10, 2023, Approval of first Amendment No. BOS 22-129-A1

October 31, 2023, Approval of second Amendment No. BOS 22-129-A2

April 9, 2024, Approval of third Amendment No. BOS 22-129-A3,

June 25, 2024, Approval of fourth Amendment No. BOS 22-129-A4

January 7, 2025, approval of fifth Amendment No. BOS 22-129-A5                     

 

Summary of Request

Behavioral Health and Recovery Services (BHRS) is currently utilizing Netsmart’s Electronic Health Record System to house and provide reporting on client electronic health records. These records are mandated to be kept accurately and securely in order to be in compliance with all required regulations. The system has been in use by the Mendocino County Mental Health Department for over 20 years, and by the Mendocino County Substance Use Disorders Treatment program since 2020.

 

On June 7, 2022, the Board of Supervisors (BOS) approved Agreement No. BOS-22-129 with Netsmart to provide the annual licensure, maintenance, and support for BHRS’s EHR system, myAvatar. On January 10, 2023, the BOS approved the first Amendment, to increase the Agreement total to $315,194 and add the CareConnect Health Information Exchange functionally to the existing myAvatar EHR system. On October 31, 2023, the BOS approved the second amendment, to increase the agreement total to $338,080 and add the CareConnect FHIR API and myHealthPointe functionalities to the existing myAvatar EHR system. On April 9, 2024, the BOS approved the third amendment, to increase the Agreement total to $454,093.48 and add myAvatar NX and myAvatar OrderConnect NX modules for the existing EHR system. On June 25, 2024, the BOS approved the fourth amendment, to increase the Agreement total to $1,900,567.48, add licensing for Public Health myAvatar users, add funds for the additional 2 years of service implemented in the third Amendment. On January 7, 2025, BOS approved the fifth Amendment, to increase the Agreement total to $2,020,831.65, add the American Society of Addiction Medicine (ASAM) program in myAvatar NX to support Substance Use Disorder Treatment (SUDT), add ProviderConnect Enterprises (PCE) to transfer behavioral health services data from Redwood Community Services (RCS) EHR (Qualifacts) to myAvatar NX, add an annual fee for HIE, add OrderConnect myAvatar licenses to add more prescribers and non-prescribers, and add additional myAvatar NX licenses for Social Services users.

The proposed Sixth Amendment will add CareConnect/Direct Secure Messaging, add OrderConnect Labs, add OrderConnect Electronic Prescription of Controlled Substances (EPCS) licenses for prescribers, add one-time fee for Data Conversion Expansion between myAvatar Root System one and Root System two, add additional myAvatar NX licenses for Redwood Community Services, and increase the total amount to $2,173,810.41.

 

Alternative Action/Motion:

Return to staff for alternative handling                     

 

Strategic Plan Priority Designation: An Effective County Government

 

Supervisorial District:  All

                                          

Vote Requirement:  Majority

                                          

 

 

Supplemental Information Available Online At: N/A

 

Fiscal Details:

source of funding: 4050

current f/y cost: $2,173,810.41 for the term of the agreement

budget clarification: N/A

annual recurring cost: N/A

budgeted in current f/y (if no, please describe): Yes

revenue agreement: No

AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: N/A

CEO Liaison: Tony Rakes, Deputy CEO                                                               

CEO Review: Yes                                            

CEO Comments:

 

FOR COB USE ONLY

Executed By: Deputy Clerk

Final Status: Item Status

Date: Date Executed

Executed Item Type: item

 

Number: