The UDHHS seeks a vendor capable of providing a statewide shared EHR for use by LHDs when performing clinical services, which would be interoperable with current statewide systems in use and potential future systems that may be under development. Current EHR systems in place at LHDs include multiple commercial EHR systems, namely eClinicalWorks, ezEMRx, CureMD, Connexin, Champ Software, and NextGen. However, the current local implementation of these systems varies widely from department to department, depending on the unique services provided by the LHD and the department policies and procedures. Proposed EHR system solutions should be able to replace and improve upon the functionality currently in place at the local level. A desired solution provides interoperability and integration between USIIS, syndromic surveillance systems, vital records (birth and death records), Electronic Lab Reporting (ELR), and Electronic Case Reporting (eCR) . Also, the desired solution will have online billing functionality, scheduling capability, and high flow surge capacity. UDHHS is seeking a combined clinical care management and practice management solution to deploy across Utah’s public health clinics. The New EHR solution will lead to more efficient processes, an integrated delivery service model, and increased transparency across stakeholders. UDHHS is interested in Supplier hosted or Supplier supported public cloud hosted software deployment options that meet Eligible User privacy and security requirements. The New EHR Solution will become the core clinical documentation system and support administrative needs for many of the programs administered by Utah’s LHDs and participating State entities. New EHR use will be intuitive and align with user workflows. LHD and State entity clinicians will have access to more information through full Client State Entity health history across the state as well as other historical client information from non-State Entity providers available through health information exchange or other health sharing platform connectivity. The New EHR solution will include enhanced case management, thus improving longitudinal care. Clients will be able to present to a clinic (or potentially through self-service means). Further, programmatic documentation will be captured electronically within the solution reducing manual data entry time burden on staff. Enhanced pharmacy capabilities within the new EHR solution will improve drug tracking, dispensing, ordering, and the ability to appropriately bill for drugs dispensed. The New EHR Solution should have measures in place to prevent and correct duplicate records to maintain a single, consolidated patient record. The New EHR Solution will also be interfaced with needed ancillary services, namely USIIS, syndromic surveillance systems, Electronic Lab Reporting (ELR), and Electronic Case Reporting (eCR), thus cutting down on the duplication of data entry. Ability to interface with other ancillary services, like vital records (birth and death records), is desired. Further, the New EHR Solution will function as the new practice management system. Some of the expected benefits include improvements to scheduling to make it easier for clients to schedule and functionality that reduces appointment no show rates. The New EHR Solution will automate many programs eligibility tasks to improve client access to programs they qualify for as well as allow for electronic programmatic assessments to reduce paper processing. Inbound and outbound referral tracking will be improved with additional interfaces to source referral systems and/or referrals directly received/sent by the New EHR Solution. Within the New EHR Solution’s practice management system, Claiming and Payment (C&P) functionality will improve the collections process. Flexible rate schedules will allow for cash pricing to mirror the communities where the clinics are located. Greater transparency in C&P analytics as well as improved insurance eligibility functionality will better highlight actual to expected payment variations and the causes of this variation. Proposals with clear improvements in Claims and Payments reconciliation compared to existing systems may score higher and potentially see more rapid adoption by LHDs. Similarly, improvements on payer connectivity & payment processes are desired. The new solution will also have reporting and analytics capabilities to support both care and practice management needs. This reporting will be in near real time, accurate, and consistent. Further, the New EHR Solution’s ability to share data with a data warehouse for even more robust reporting is desired. As far as technical infrastructure, Supplier or locally-hosted options for Eligible User discretion would be preferred. UDHHS currently uses Utah Technology Authority’s Amazon Web Services (AWS) as an enterprise cloud platform for infrastructure services. UDHHS will consider proven SaaS platforms that are not in AWS, provided UDHHS and LHD objectives are attainable and its functional and non-functional (e.g./ security measures) are met. The data must be located in the continental United States. Supplier will provide required Federal and State safety and privacy related to the solution and the data within it.
