A. “Discussion, consideration, and action to approve a necessary CARES Act Relief Fund expenditure to cover the estimated cost not accounted for in the current budget and cannot be lawfully funded by line item, allotment or allocation, for the Electronic Medical Records and the implementing of the migration and supplies, in order to assist with County Public Health expenses addressing the ongoing COVID-19 public health emergency; the Court having reviewed the Agenda Item Briefing, herein finds that such expenditure is reasonable and necessary for the intended use.”

B.Exemption from competitive bidding requirements, pursuant to Texas LGC 262.024(a)(1): an item that must be purchased in case of a public calamity if it is necessary to make the purchase promptly to relieve the necessity of the citizens; (2) an item necessary to preserve and protect the public health and safety of the citizens.

C. The current Electronic Medical Records system is not capable of handling and analyzing the data related to the Covid-19 infections effectively.  The new systems allow for effective access to the data as well and increased user capacity.   This will allow us to increase scalability in the number of remote sites needed to mitigate the impact caused by resurgence of Covid-19.  It will also be able to handle a much larger quantity of clients without further stressing our own information technology infrastructure. The additional capability may integrate with the Healthcare Health Information Exchange and promote a secure patient health information exchange with local healthcare providers. Subject to compliance with 1295 Form.