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HomeMy WebLinkAbout2022-119-E-Health-Patagonia-Pay for additional Patagonia licenses for pharmacy apphttp://www.patagoniahealth.com Add-On Sales Agreement 2022 - User Licenses Orange County Health Department - NC Executed Date: Proposal Date: 2/22/2022. This quote is valid for 90 days. Term: Co-term with current Sales Amendment dated 8/7/2019 Contact: Kimberlee Quatrone, Business Officer –kquatrone@orangecountync.gov - 919-245-2460 Patagonia Health Account Manager: Karen Khoury,Karen@PatagoniaHealth.com - 919-200-6011 Additional User Licenses: Description Initial Fees Per User Cost Total Monthly Subscription Add 15 Permanent Full Time User Licenses for EHR This addition brings total user licenses to 30 None $30.00 $450.00 Terms: All other areas of the current Sales Agreement remain unchanged, including Payment Schedule, Terms, and Conditions. ●Subscription Fees: ○For annual subscription customers, either a prorated invoice for the time left until your anniversary will be sent or drafted from your bank if on auto-pay. ○The cost of this monthly subscription will increase at each anniversary of the current agreement by 4% or CPI, whichever is greater. Orange County - NC Signature: ________________________________ Date: ___________________________________ Name: Bonnie Hammersley Title: County Manager Phone: 919-245-2306 Email: bhammersley@orangecountync.gov Patagonia Health, Inc. Signature: ______________________________ Date: _________________________________ Name: Amos Slaymaker Title: VP of Sales and Marketing Phone: (919) 439-0964 Email: amos@patagoniahealth.com Page 1 of 1 Confidential. Copyright© 2021 Patagonia Health, Inc. 15100 Weston Parkway, Suite 204, Cary, NC 27513 | 919.238.4780 | Email:info@patagoniahealth.com DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27 3/11/2022 DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC 03/14/2022 03/14/2022 Revised 06/21 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Patagonia Party/Vendor Contact Person: Karen Khoury Contact Phone: 919-200-6011 Party/Vendor Address: 15100 Weston Parkway #204 City Cary State: NC Zip: 27513 Department: Health Amount: $2,700 Purpose: Pay for additional Patagonia licenses for pharmacy app Budget Code(s): 61370035-800100-30012 Vendor # 61583 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 3-1-22 Approved by Board Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27 3/10/2022 3/10/2022 3/10/2022 3/11/2022 3/11/2022 DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC http://www.patagoniahealth.com Page 1 of 2 Confidential. Copyright© 2017 Patagonia Health, Inc. 15100 Weston Parkway, Suite 204, Cary, NC 27513 | 919.238.4780 | Email: info@patagoniahealth.com Sales Agreement Addendum Addendum: This is an add-on addendum to the Sales Agreement dated October 24, 2012 and holds all of the same terms and conditions therein. Customer: Orange County Health Department Date: August 7th, 2019. Addendum Effective Date: October 1st, 2019. (OCHD has access to complete end to end EHR, as previously agreed, till 30th Sep 2019. Thus, this addendum effective date is after 30th Sep 2019.) Functionality Description: Orange County Health Department OCHD has been using Patagonia Health EHR software solution since 2012. OCHD has elected to switch to UNC affiliated EPIC EHR. However, OCHD wishes to continue to use Patagonia Health Pharmacy App only. This addendum and price only includes Pharmacy App and associated functionality which is only a subset of complete end to end EHR which OCHD has had access since 2012. This excludes the use of any billing or electronic prescription functionality. Term: This Agreement will run for an initial term of three months from the Service Effective Date. OCHD has a choice to use and pay for system on a month to month basis. Payment for first three months paid in advance. All fees including monthly subscription fees and training will increase by 4% at the beginning of each annual anniversary date. All payments made are non-refundable. Cancellation: OCHD may cancel the agreement at anytime with a three month written notice for October through December 2019 and with a 30 day written notice after that period. Reactivation post cancellation will incur an initiation fee. Functionality and Costs: Description One Time: Upfront Costs Ongoing: Monthly Costs Initial to Accept or mark “X’ to Decline Functionality: Pharmacy App for the health department. Includes Surescript certified electronic prescription solution and support for up to fifteen (15) users. Additional users can be added at an additional cost of $30/month/user. Minimum cost is $795/month $795.00 Initial to Accept or mark X to Decline DocuSign Envelope ID: 881484B7-44A8-4DD9-9947-6209CB23CD79DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC http://www.patagoniahealth.com Page 2 of 2 Confidential. Copyright© 2017 Patagonia Health, Inc. 15100 Weston Parkway, Suite 204, Cary, NC 27513 | 919.238.4780 | Email: info@patagoniahealth.com Implementation $0 Initial to Accept or mark X to Decline Data Extraction $15,000 Initial to Accept or mark X to Decline Remote Training: $100/hr. Minimum 2 hours to be purchased. Initial to Accept or mark X to Decline If applicable # of hours: Training: On site, in person, Training: $1500/day. Initial to Accept or mark X to Decline If applicable # of days: Costs: ● Initial payment (3 months at $795/month): $2,385. ● On -going Monthly Payment: $795/month ● Additional Cost for training, if selected will be added to Initial payment. Payment Terms: 1. Payment Plan: All costs paid in advance. Initial payment billed upon execution of this Addendum Agreement. All payments due within 30 days of invoicing. CUSTOMER Patagonia Health, Inc. Signature: Signature: Name: Bonnie Hammersley Name: Amos Slaymaker Title: County Manger Title: Vice President, Sales & Marketing x x DocuSign Envelope ID: 881484B7-44A8-4DD9-9947-6209CB23CD79DocuSign Envelope ID: 0E76022E-EB24-4BC8-9CBE-2BA3FA1CCA27DocuSign Envelope ID: F270F76A-EF44-4259-9139-D74F6DE68EDC