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Commission approves consent calendar and sole-source vendor list after recusal; staff explain purpose of sole-source list

San Francisco Department of Public Health Commission · June 5, 2018
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Summary

The Finance & Planning Committee reported contract items, a projected $80.5 million general fund surplus and seven EHR-related contracts; Michelle Ruggles explained the sole-source vendor list to prevent service gaps, commissioners recorded recusals and the commission approved the consent calendar and the sole-source list with noted abstentions.

During the Finance & Planning Committee's report, Commissioner Bernal said the committee reviewed the monthly contracts report, seven new contracts contributing roughly one-third of core costs for the electronic health record implementation, and a revenue/expenditure projection showing an approximate general fund surplus of $80,500,000 for the third quarter.

"At the end of the third quarter, the department projects to have a general fund surplus of roughly $80,500,000," Commissioner Bernal reported.

Michelle Ruggles, who oversees the DPH business office, explained the department's annual sole-source vendor list process: the list is a roster of nonprofit vendors (current and potential) that allows DPH to act quickly to start services when additional funding is added or when a service gap would otherwise interrupt care. "It's actually a list of vendors... that is attached to that memo," Ruggles said. She described the monitoring process for current contractors (annual monitoring, monthly invoicing and controller-led fiscal checks) and said the department will return in August with a usage report showing which sole-source authorities were actually used.

Commissioners asked how vendor effectiveness and continuity of care are evaluated, how monitoring cycles are staggered by funding type and whether DPH's internal due diligence would be maintained. Ruggles said annual internal monitoring remains in place along with corrective-action steps if vendors underperform.

Before voting on the sole-source list, the commission handled recusals. One commissioner stated they would abstain from votes affecting an entity where they sit on the board; another disclosed an affiliation with Dignity Health's corporate board. The commission recorded the recusal and moved the remainder of the consent calendar. The consent calendar passed; the commission then approved the sole-source vendor list with the recorded recusal noted on the relevant line item.

A separate typographical correction to a contracts line item (Netsmart Technologies) was also noted and corrected in the record.

No public comment was recorded on the consent calendar. The commission asked staff to return in August with expanded usage reporting for any sole-source agreements actually executed.