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<br />show rate and thereby increase revenue, and also enable providers to view full patient medical <br />record information for visits at other UNCHCS offices. <br /> <br />FINANCIAL IMPACT: The total contract cost for a three year period is $127,361, which is <br />$64,639 less than the anticipated cost of three years of annual maintenance fees with the <br />existing EMR system ($192,000). Funding for this contract will be included in the Manager’s <br />Recommended FY 2018-19 Information Technologies and Health Department budgets. The <br />Health Department will also pay for an additional year of annual maintenance costs for <br />Patagonia Health in order to accurately apply earned revenue to the appropriate client accounts <br />billed from the Patagonia EMR. This method was strongly recommended by UNCHCS as a <br />proven method from the other EMR transitions it has conducted through the Community <br />Connect process. The total cost of running tandem EMR’s for one year and the Epic EMR for <br />the subsequent two years will be $191,361 and earn a small savings of $639 for the initial three- <br />year period. <br /> <br />SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to <br />this agenda item: <br />• GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY <br />The creation and preservation of infrastructure, policies, programs and funding necessary <br />for residents to provide shelter, food, clothing and medical care for themselves and their <br />dependents. <br /> <br />RECOMMENDATION(S): The Manager recommends that the Board authorize the County <br />Manager to sign the Agreement with UNCHCS and any amendments or renewals of that <br />Agreement. <br />2