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File #: 25-0303   
On agenda: 5/20/2025 Final action:
Enactment date: Enactment #:
Recommended Action(s)
Approve and authorize the Chairman to execute a First Amendment to Agreement with Netsmart Technologies, Inc., to add additional solutions for myAvatar NX upgrade and for Netsmart Hosting Services, to move from a self-hosted Electronic Health Record System to a cloud hosted platform, effective upon execution with no change to the term of May 25, 2024 through May 24, 2029 and increasing the maximum by $958,524 to a total of $2,381,742.
Attachments: 1. Agenda Item, 2. On file with Clerk - First Amendment to Agreement with Netsmart
Date Action ByActionResultAction DetailsAgenda MaterialsVideo
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DATE: May 20, 2025

TO: Board of Supervisors

SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
Mike Kerr, Director of Information Technology Services Department and Chief Information Officer

SUBJECT: Amendment to Agreement with Netsmart Technologies, Inc.

RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a First Amendment to Agreement with Netsmart Technologies, Inc., to add additional solutions for myAvatar NX upgrade and for Netsmart Hosting Services, to move from a self-hosted Electronic Health Record System to a cloud hosted platform, effective upon execution with no change to the term of May 25, 2024 through May 24, 2029 and increasing the maximum by $958,524 to a total of $2,381,742.
REPORT
There is no additional Net County Cost associated with the recommended action. The action would allow the Department of Public Health (DPH) to continue maintenance and support of myAvatar and the Clinical Workstation and Mobile Licenses which are used across all programs in the DPH Nursing Division, Community Health Division, and the Laboratory Information Management System (LIMS). The action will add additional solutions to Netsmart Hosting Services and permit County to load data on the hosted system via a virtual private network (VPN) or Secure Socket Layer (SSL) and upgrade to myAvatar NX for Electronic Health Record System (EHR) featuring a redesigned, user friendly interface and improved navigation. This item is countywide.

ALTERNATIVE ACTION(S):

Should your Board not approve the recommended action, DPH would not be able to move forward with myAvatar NX platform upgrade from a self-hosted EHR to a cloud based EHR resulting in the loss of associated cost savings, enhanced accessibility, and improved security.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended action. Cost associated with the recommended agreement will not exceed $2,381,742 for the full term of the agreem...

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