REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 5, 2021
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amendment to Agreement with UpToDate, Inc. for Renewal of a Subscription to UpToDate Anywhere Clinical Decision Support Resource
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2, effective December 1, 2021, to Contract No. 19-732 with UpToDate, Inc., for use of UpToDate Anywhere, an evidence-based, physician-authorized clinical decision support resource, extending the contract an additional year, and increasing the total contract amount by $10,467, from $18,960 to $29,427, for the period of December 1, 2019 through November 30, 2022.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The increased cost of $10,467 for this subscription is funded by fee-for-service Medi-Cal, Managed Care Medi-Cal, private insurance, and sliding fee scale clients. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2021-22 budget and will be included in the 2022-23 recommended budget.
BACKGROUND INFORMATION
DPH has been utilizing the UpToDate Anywhere clinical decision support resource at the Federally Qualified Health Centers (FQHCs) and DPH Clinics since 2019. Approval of this amendment will allow DPH to continue to use the evidence-based, physician-authorized clinical decision support resource. More than 7,100 world-renowned physician authors, editors, and peer reviewers synthesize the most recent medical information into trusted, evidence-based recommendations that are proven to improve patient care, quality, and outcomes.
UpToDate Anywhere provides DPH medical providers with access to more than 11,800 topics in 25 specialties, which are continuously updated and reviewed by leading experts. This resource provides the clinicians with current evidence-based clinical guidelines, standards of care, and standards of practice in the provision of health center services. In addition, the County’s Arrowhead Regional Medical Center currently uses the same clinical decision support service.
PROCUREMENT
On November 5, 2019 (Item No. 26), the Board of Supervisors (Board) approved non-competitive Contract No. 19-732 with UpToDate, Inc., for a subscription to UpToDate Anywhere, in the amount of $9,085, for the period of December 1, 2019 through November 30, 2020.
On October 6, 2020 (Item No. 24), the Board approved Amendment No. 1 to Contract No. 19-732, increasing the total contract amount by $9,875, from $9,085 to $18,960, for the period of December 1, 2019 through November 30, 2021.
Purchasing concurs with the continued non-competitive justification based on the specialized expertise and resource of evidence-based recommendations of leading experts, including medical doctors, provided by UpToDate, Inc. The clinical decision support resource will continue to assist DPH to provide medical care that meets standards of care.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Becky Giroux, Contracts Manager, 388-0241) on August 27, 2021; County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on August 30, 2021; Purchasing (Bruce Cole, Supervising Buyer, 387-2148) on August 31, 2021; Finance (Paul Garcia, Administrative Analyst, 386-8392) on August 31, 2021; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on August 31, 2021.