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 rea...
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