Marin County’s Department of Health and Human Services is seeking a single, ONC‑certified, enterprise‑wide Electronic Health Record (EHR) system that unifies physical health, substance‑use‑disorder (SUD) tracking, case management, and revenue‑cycle functions across the County and its contracted Community‑Based Organizations (CBOs). The solution must support detention‑health workflows, CalAIM population‑health requirements, strict 42 CFR Part 2 privacy controls, and seamless bidirectional integration with existing county and state systems (Jail Management System, SmartCare, CalSAWS, regional HIEs). The contract is for a 60‑month term with a total‑cost‑of‑ownership budget to be supplied by proposers.
• Core deliverable: integrated, modern EHR with clinical partitions, multi‑party consent engine, and compliance with California health‑and‑justice regulations.
• Required capabilities: 24/7 detention health support, MAT dosing logs, open‑FHIR APIs, unlimited transaction capacity, CalAIM‑aligned billing, and analytics dashboards.
• Implementation expectations: phased rollout, data migration of ~1.3 M records, 24/7 technical support (≤30‑minute severity‑1 response), and a sandbox for county staff to customize templates without vendor fees.
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