To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #23-887 with UpToDate, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County a Subscription Agreement (Contract #23-887) with UpToDate, Inc., a corporation, in an amount not to exceed $752,780, for the license of drug-disease databases for Contra Costa Regional Medical Center (CCMRC) and Contra Costa Health Centers for the period September 1, 2025 through August 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $752,780 over a three-year period and will be funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
This Subscription Agreement meets the needs of CCRMC by providing a software license subscription to access the UpToDate® Clinical Decision Support (CDS) system to aid CCRMC clinicians in making care decisions. It provides a variety of resources for healthcare workers, providing the latest medical information and care recommendations for healthcare professionals across the care continuum. CCRMC has utilized this platform to assist clinicians since 2015. UpToDate Enterprise Edition provides access to several databases to monitor the drug-disease interaction information service for ambulatory dispensing. The point of care references and embedded drug data solutions are trusted to help elevate quality, reduce costs, and improve patient outcomes. This subscription also supports clinician education through built-in tracking of continuing education credits, technical support, and provides usage analytics to measure engagement. These deliverables help improve patient care by guiding treatment decisions, reducing errors, and supporting compliance with education and performance standards.
A summary of service contract deliverables, including measurable outcomes required of the Contractor to be monitored by the department in compliance with Section III (B)(7) of the Purchasing Policy includes CCRMC’s 24/7 access to expert-reviewed medical content across multiple specialties, integrated into clinical workflows via web, mobile, or electronic health records platforms. This Contractor was approved by the Public Works Department’s Division on March 3, 2025. This Contract request was approved by Contra Costa Health Personnel to ensure no conflict with labor relations.
On September 20, 2022, the Board of Supervisors approved and the Purchasing Manager issued a Purchase Order with UpToDate, Inc., in the amount of $645,000 for a subscription to the CDS system, for the period September 1, 2022, through August 31, 2025.
Under this Contract #23-887, the parties will execute UpToDate Enterprise Edition Subscription and License Terms Subscription Agreement. The Subscription Agreement limits UpToDate’s liability under the Agreement to the amounts the County has paid in the twelve (12) months preceding the claim.
Approval of this new Subscription Agreement (Contract #23-887) will allow the Contractor to provide a software subscription license agreement for its drug-disease databases for CCRMC clinical decision support through August 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, disruptions to the delivery of high-quality, evidence-based healthcare and clinical based decision-making may cause challenges which could ultimately impact patient outcomes.