Subtotal System Software Costs $0 $0 $0

Full text

(1)

APPENDIX D: PROPOSAL COST RESPONSE FORM

Software

A. System Software Costs

Item Version One Time-Cost Annual

Maintenance Five Year Total Cost

Subtotal System Software Costs $0 $0 $0

B. Third Party Software Costs

Item Version One Time-Cost Annual

Maintenance Five Year Total Cost

Santa Clara Valley Medical Center RFP Response

Vendor: ________________________________________

Cost Proposal: Enterprise Core Health Information System- Scenario 1

Based Sizing/Pricing on

Section 2.0-B Planning and Volume Statistics

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.)

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.)

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K:System Costs

APPENDIX D: PROPOSAL COST RESPONSE FORM

C. Application Software Costs

Application Module Version One Time-Cost Annual

Maintenance Five Year Total Cost

Subtotal Application Software Costs $0 $0 $0

Application software costs are defined as costs to purchase the software applications you are proposing. Please list each application you are proposing separately.

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APPENDIX D: PROPOSAL COST RESPONSE FORM

Hardware

D. System Hardware/Storage Costs

Item Make/Model One Time-Cost Quantity Unit Cost Annual

Maintenance

Five Year Total Cost

Subtotal System Hardware Costs $0 0 $0 $0 $0

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K:System Costs

APPENDIX D: PROPOSAL COST RESPONSE FORM

Start-Up Support

E. Implementation Costs

Item Total One

Time Cost 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 Costs $0

Implementation costs are defined as costs associated with implementation of the proposed system.

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APPENDIX D: PROPOSAL COST RESPONSE FORM

F. Interface/Integration Costs

Interface (Vendor/Product) One Time Annual Maintenance

Five Year Total Cost 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.

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.

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K:System Costs

APPENDIX D: PROPOSAL COST 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 Costs $0 $0 $0

G. Conversion Costs

Conversion

See Section 2.0-B Planning & Volume Statistics for Conversion Volumes

One Time Annual

Maintenance

Five Year Total Cost

Patient Demographics

Clinical Data (approximately 2 years), e.g., lab/radiology results, etc.)

Document Management Conversions

Subtotal Conversion Costs $0

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APPENDIX D: PROPOSAL COST RESPONSE FORM

H. Other Costs

Item One Time Annual

Maintenance

Five Year Total Cost

Subtotal Other Costs $0 $0 $0

SUMMARY OF COSTS

Item One Time Annual

Maintenance

Five Year Total Cost Software

A. System Software Costs $0 $0 $0

B. Third Party Software Costs $0 $0 $0

C. Application Software Costs $0 $0 $0

Hardware

D. System Hardware/Storage Costs $0 $0 $0

Start-Up Support E. Implementation Costs $0 $0 F. Interface/Integration Costs $0 $0 $0 G. Conversion Costs $0 $0 H. Other Costs $0 $0 $0 TOTAL COSTS $0 $0 $0

Please list other costs associated with supplies, manuals & documentation, site preparation, customizations you have proposed, etc.)

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K: System Costs

APPENDIX D: Proposal Cost Response Form

Software

A. System Software Costs

Item Version One Time-Cost Annual

Maintenance Five Year Total Cost

Subtotal System Software Costs $0 $0 $0

B. Third Party Software Costs

Item Version One Time-Cost Annual

Maintenance Five Year Total Cost

Subtotal Third Party Software Costs $0 $0 $0

Santa Clara Valley Medical Center RFP Response

Vendor: ________________________________________

Cost Proposal: Enterprise Core Health Information System- Scenario 2

Based Sizing/Pricing on

Section 2.0-B Planning and Volume Statistics

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.)

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.)

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APPENDIX D: Proposal Cost Response Form

C. Application Software Costs

Application Module Version One Time-Cost Annual

Maintenance Five Year Total Cost

Subtotal Application Software Costs $0 $0 $0

Application software costs are defined as costs to purchase the software applications you are proposing. Please list each application you are proposing separately.

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K: System Costs

APPENDIX D: Proposal Cost Response Form

Hardware

D. System Hardware/Storage Costs

Item Make/Model One Time-Cost Quantity Unit Cost Annual

Maintenance

Five Year Total Cost

Subtotal System Hardware Costs $0 0 $0 $0 $0

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APPENDIX D: Proposal Cost Response Form

Start-Up Support

E. Implementation Costs

Item Total One

Time Cost 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 Costs $0

Implementation costs are defined as costs associated with implementation of the proposed system.

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K: System Costs

APPENDIX D: Proposal Cost Response Form

F. Interface/Integration Costs

Interface (Vendor/Product) One Time Annual Maintenance

Five Year Total Cost 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.

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.

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APPENDIX D: Proposal Cost 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 Costs $0 $0 $0

G. Conversion Costs

Conversion

See Section 2.0-B Planning & Volume Statistics for Conversion Volumes

One Time Annual

Maintenance

Five Year Total Cost

Patient Demographics

Clinical Data (approximately 2 years), e.g., lab/radiology results, etc.)

Document Management Conversions

Subtotal Conversion Costs $0

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K: System Costs

APPENDIX D: Proposal Cost Response Form

H. Other Costs

Item One Time Annual

Maintenance

Five Year Total Cost

Subtotal Other Costs $0 $0 $0

SUMMARY OF COSTS

Item One Time Annual

Maintenance

Five Year Total Cost Software

A. System Software Costs $0 $0 $0

B. Third Party Software Costs $0 $0 $0

C. Application Software Costs $0 $0 $0

Hardware

D. System Hardware/Storage Costs $0 $0 $0

Start-Up Support E. Implementation Costs $0 $0 F. Interface/Integration Costs $0 $0 $0 G. Conversion Costs $0 $0 H. Other Costs $0 $0 $0 TOTAL COSTS $0 $0 $0

Please list other costs associated with supplies, manuals & documentation, site preparation, customizations you have proposed, etc.)

(15)

APPENDIX D: PROPOSAL COST RESPONSE FORM

Software

Optional Application Software Costs

Application Module Version One Time-Cost Annual

Maintenance Five Year Total Cost

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

Santa Clara Valley Medical Center RFP Response

Vendor: ________________________________________

Cost Proposal: Optional Applications

Based Sizing/Pricing on

Section 2.0-B Planning and Volume Statistics

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.

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References

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