Legislation Details

File #: 26-1021    Version: 1 Name:
Type: Approval Status: Consent Agenda
File created: 11/2/2026 In control: Health Services
On agenda: 11/17/2026 Final action:
Title: Approval of the Electronic Health Record (EHR) Requirement for County Behavioral Health & Recovery Services (BHRS) Providers Report from the EHR Ad Hoc Committee Recommending to Maintain the Board's Original Direction While Allowing for Consideration of Interoperability When a Provider Can Demonstrate That Its Proposed System is Fully Functional, Secure, and Capable of Meeting the County's Requirements; and Approval of Disbandment of EHR Ad Hoc Committee (Sponsor: Health Services, Supervisor Mulheren, and Supervisor Williams) Vote Requirement: Majority
Attachments: 1. EHR Ad Hoc Committee - Recommendations

To:  BOARD OF SUPERVISORS

From:  Health Services, Supervisor Mulheren, and Supervisor Williams

Meeting Date:  November 17, 2026

 

Department Contact:  

Jenine Miller

Phone: 

707-472-2341

 

Item Type:   Consent Agenda

 

Time Allocated for Item: N/A

 

 

Agenda Title:

title

Approval of the Electronic Health Record (EHR) Requirement for County Behavioral Health & Recovery Services (BHRS) Providers Report from the EHR Ad Hoc Committee Recommending to Maintain the Board's Original Direction While Allowing for Consideration of Interoperability When a Provider Can Demonstrate That Its Proposed System is Fully Functional, Secure, and Capable of Meeting the County's Requirements; and Approval of Disbandment of EHR Ad Hoc Committee

(Sponsor: Health Services, Supervisor Mulheren, and Supervisor Williams)

 

Vote Requirement:  Majority

End

 

Recommended Action/Motion:

recommendation

Approve the Electric Health Record (EHR) requirement for County Behavioral Health & Recovery Services (BHRS) Providers Report from the EHR Ad Hoc Committee recommending to maintain the Board's original direction while allowing for consideration of interoperability when a provider can demonstrate that its proposed system is fully functional, secure, and capable of meeting the county's requirements; and approve disbandment of the EHR Ad Hoc Committee.

End

 

Previous Board/Board Committee Actions:

On July 21, 2026, the Board directed that an EHR Ad Hoc Committee be formed to work with the contractors and staff in regards to County electronic health records and return to the Board of Supervisors with a recommendation to either fully implement Avatar or create a hybrid interoperability model.                     

 

Summary of Request: 

This Board Agenda Summary presents the EHR Ad Hoc Committee’s recommendation regarding the use of the County’s Electronic Health Record (EHR) system, Netsmart Avatar, by all in-county BHRS providers. The committee’s review responds to provider concerns about interoperability, while reaffirming the County’s obligations for data access, reporting, and compliance.

 

Alternative Action/Motion:

Return to staff for alternate handling.                     

 

Strategic Plan Priority Designation: An Effective County Government

 

Supervisorial District:  All

                                                                                    

 

 

Supplemental Information Available Online At: N/A

 

Fiscal Details:

source of funding: N/A

current f/y cost: N/A

budget clarification: N/A

annual recurring cost: N/A

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

revenue agreement: N/A

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

CEO Liaison: Megan Shandel, 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: