Subtotal System Software Costs $0 $0 $0
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1 K:System s Santa Clara Valley Medical Center RFP Response Vendor: Proposal: Enterprise Core Health Information System- Scenario 1 Based Sizing/Pricing on Section 2.0-B Planning and Volume Statistics Software A. System Software s System software costs are defined as costs to purchase the system software required to install and run the system you are proposing (operating systems, DBMS, Client Access Licenses (CALS), etc.) Item Version - Subtotal System Software s $0 $0 $0 B. Third Party Software s Third-party software costs are defined as any costs to purchase any additional 3rd party software required to install and run the system you are proposing (code sets, clinical content, reporting packages, etc.) Item Version - Subtotal Third Party Software s $0 $0 $0 1
2 K:System s C. Application Software s Application software costs are defined as costs to purchase the software applications you are proposing. Please list each application you are proposing separately. Application Module Version - Subtotal Application Software s $0 $0 $0 2
3 K:System s Hardware D. System Hardware/Storage s System hardware costs are defined as the costs to purchase the hardware and storage required to install and run the system you are proposing. Item Make/Model - Quantity Unit Subtotal System Hardware s $0 0 $0 $0 $0 3
4 K:System s Start-Up Support E. Implementation s Implementation costs are defined as costs associated with implementation of the proposed system. Total One Item Time Vendor Implementation Fees Vendor Project Management Services Vendor Hardware/Network Installation Services Vendor Supplied User Training Services Vendor Travel Expenses Shipping/Insurance Other Services (describe) Subtotal Implementation s $0 4
5 K:System s F. Interface/Integration s Interface costs are associated with interfaces between current SCVMC applications and vendor's proposed applications. Please factor into your pricing the assumption that an Interface Engine will be used to process/route transactions so multiple point-to-point interfaces will NOT be required. Interface (Vendor/Product) ADT (bi-directional) ADT Inbound to CIS and Document Management from Invision Edits Outbound from CIS and Document Management to Invision Orders/Results (bi-directional including order status and inquiry) Orders Outbound from CIS to Sunquest Lab, Siemens RIS, MediServe RT/Rehab, and CBORD Dietary System Orders & Order Status/Results Inbound to CIS from Sunquest Lab, Siemens RIS, MediServe RT/Rehab, and CBORD Dietary System Charges (uni-directional) Hospital-based Charges Outbound from CIS to Invision Professional Charges Outbound from CIS to Signature Transcription (uni-directional) Transcription Inbound to CIS and/or EDMS from SoftMed Radiology System (RIS) Interfaces Viewing of PACS images to be launched from within CIS and Physician Portal Wellsoft EDIS Integration Requirements Medication Orders Inbound to CIS Pharmacy module from Wellsoft Comprehensive clinical data from Wellsoft EDIS to CIS (supporting CCD standards): e.g., Height/weight, allergies/reactions, advanced directive, clinical history, reason for visit, problem list, ED documentation, medications (home and administered while in ED) and time of meds administration in the ED to the CIS emar. 5
6 K:System s SIS Integration Requirements Comprehensive clinical data from SIS to CIS (supporting CCD standards), e.g., Surgical/anesthesia summary, post-op report/medications NextGen AEMR Integration Requirements Bi-directional between CIS and NextGen AEMR to support patient continuum, e.g., User defined / CCD elements and/or documents to support continuity of care, e.g., Height/weight, allergies/reactions, advanced directive, clinical history, problem list, home medications, lab values, etc. and messaging to support notification of PCP of hospital admission and outbound discharge summaries. Additional Interfaces Bi-directional between Allscripts Case Management System and CIS, e.g., user-defined clinical data elements to support case management processes. Orders interface between CIS and dispensing systems (e.g., OmniCell, Pyxis) Pharmacy inventory support - outbound purchase orders Integration between vendor s Enterprise Patient Scheduling application and Pulse Voice IVR for phone-based patient scheduling Other Subtotal Interface/Integration s $0 $0 $0 G. Conversion s Conversion costs are the costs incurred to migrate existing data to the proposed application Conversion See Section 2.0-B Planning & Volume Statistics for Conversion Volumes Patient Demographics Clinical Data (approximately 2 years), e.g., lab/radiology results, etc.) Document Management Conversions Subtotal Conversion s $0 6
7 K:System s H. Other s Please list other costs associated with supplies, manuals & documentation, site preparation, customizations you have proposed, etc.) Item Subtotal Other s $0 $0 $0 SUMMARY OF COSTS Software Item A. System Software s $0 $0 $0 B. Third Party Software s $0 $0 $0 C. Application Software s $0 $0 $0 Hardware D. System Hardware/Storage s $0 $0 $0 Start-Up Support E. Implementation s $0 $0 F. Interface/Integration s $0 $0 $0 G. Conversion s $0 $0 H. Other s $0 $0 $0 TOTAL COSTS $0 $0 $0 7
8 K: System s APPENDIX D: Proposal Response Form Santa Clara Valley Medical Center RFP Response Vendor: Proposal: Enterprise Core Health Information System- Scenario 2 Based Sizing/Pricing on Section 2.0-B Planning and Volume Statistics Software A. System Software s System software costs are defined as costs to purchase the system software required to install and run the system you are proposing (operating systems, DBMS, Client Access Licenses (CALS), etc.) Item Version - Subtotal System Software s $0 $0 $0 B. Third Party Software s Third-party software costs are defined as any costs to purchase any additional 3rd party software required to install and run the system you are proposing (code sets, clinical content, reporting packages, etc.) Item Version - Subtotal Third Party Software s $0 $0 $0 1
9 K: System s APPENDIX D: Proposal Response Form C. Application Software s Application software costs are defined as costs to purchase the software applications you are proposing. Please list each application you are proposing separately. Application Module Version - Subtotal Application Software s $0 $0 $0 2
10 K: System s APPENDIX D: Proposal Response Form Hardware D. System Hardware/Storage s System hardware costs are defined as the costs to purchase the hardware and storage required to install and run the system you are proposing. Item Make/Model - Quantity Unit Subtotal System Hardware s $0 0 $0 $0 $0 3
11 K: System s APPENDIX D: Proposal Response Form Start-Up Support E. Implementation s Implementation costs are defined as costs associated with implementation of the proposed system. Total One Item Time Vendor Implementation Fees Vendor Project Management Services Vendor Hardware/Network Installation Services Vendor Supplied User Training Services Vendor Travel Expenses Shipping/Insurance Other Services (describe) Subtotal Implementation s $0 4
12 K: System s APPENDIX D: Proposal Response Form F. Interface/Integration s Interface costs are associated with interfaces between current SCVMC applications and vendor's proposed applications. Please factor into your pricing the assumption that an Interface Engine will be used to process/route transactions so multiple point-to-point interfaces will NOT be required. Interface (Vendor/Product) ADT (bi-directional) ADT Inbound to CIS and Document Management from Invision Edits Outbound from CIS and Document Management to Invision Orders/Results (bi-directional including order status and inquiry) Orders Outbound from CIS to Sunquest Lab, Siemens RIS, MediServe RT/Rehab, and CBORD Dietary System Orders & Order Status/Results Inbound to CIS from Sunquest Lab, Siemens RIS, MediServe RT/Rehab, and CBORD Dietary System Charges (uni-directional) Hospital-based Charges Outbound from CIS to Invision Professional Charges Outbound from CIS to Signature Transcription (uni-directional) Transcription Inbound to CIS and/or EDMS from SoftMed Radiology System (RIS) Interfaces Viewing of PACS images to be launched from within CIS and Physician Portal Wellsoft EDIS Integration Requirements Medication Orders Inbound to CIS Pharmacy module from Wellsoft Comprehensive clinical data from Wellsoft EDIS to CIS (supporting CCD standards): e.g., Height/weight, allergies/reactions, advanced directive, clinical history, reason for visit, problem list, ED documentation, medications (home and administered while in ED) and time of meds administration in the ED to the CIS emar. 5
13 K: System s APPENDIX D: Proposal Response Form SIS Integration Requirements Comprehensive clinical data from SIS to CIS (supporting CCD standards), e.g., Surgical/anesthesia summary, post-op report/medications NextGen AEMR Integration Requirements Bi-directional between CIS and NextGen AEMR to support patient continuum, e.g., User defined / CCD elements and/or documents to support continuity of care, e.g., Height/weight, allergies/reactions, advanced directive, clinical history, problem list, home medications, lab values, etc. and messaging to support notification of PCP of hospital admission and outbound discharge summaries. Additional Interfaces Bi-directional between Allscripts Case Management System and CIS, e.g., user-defined clinical data elements to support case management processes. Orders interface between CIS and dispensing systems (e.g., OmniCell, Pyxis) Pharmacy inventory support - outbound purchase orders Integration between vendor s Enterprise Patient Scheduling application and Pulse Voice IVR for phone-based patient scheduling Other Subtotal Interface/Integration s $0 $0 $0 G. Conversion s Conversion costs are the costs incurred to migrate existing data to the proposed application Conversion See Section 2.0-B Planning & Volume Statistics for Conversion Volumes Patient Demographics Clinical Data (approximately 2 years), e.g., lab/radiology results, etc.) Document Management Conversions Subtotal Conversion s $0 6
14 K: System s APPENDIX D: Proposal Response Form H. Other s Please list other costs associated with supplies, manuals & documentation, site preparation, customizations you have proposed, etc.) Item Subtotal Other s $0 $0 $0 SUMMARY OF COSTS Software Item A. System Software s $0 $0 $0 B. Third Party Software s $0 $0 $0 C. Application Software s $0 $0 $0 Hardware D. System Hardware/Storage s $0 $0 $0 Start-Up Support E. Implementation s $0 $0 F. Interface/Integration s $0 $0 $0 G. Conversion s $0 $0 H. Other s $0 $0 $0 TOTAL COSTS $0 $0 $0 7
15 K: System s Santa Clara Valley Medical Center RFP Response Vendor: Proposal: Optional Applications Based Sizing/Pricing on Section 2.0-B Planning and Volume Statistics Software Optional Application Software s The Optional application software costs are defined as costs to purchase the additional software applications listed below. Please complete the pricing for the modules listed. Additions to clarify your solutions is permitted. Application Module Version - Enterprise Patient Scheduling Patient Registration / ADT Bed Management Health Information Management (HIM) Patient Accounting Oncology Affiliated/ Physician Portal Patient Portal Referral Management System Case Management System Emergency Department Information System Surgery / Anesthesiology Laboratory Information System (LIS) Radiology Information System (RIS) Cardio Vascular Information System (CVIS) Outpatient (Retail) Pharmacy System Personal Health Record Managed Care Administration 1
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