4253 Contract change Order ACL.pdf
PDF 302 KB Posted
- Attached to
- Electronic Medical Record for DOC Inmates
- Contract number
- 410008-M16-ELB4253A-RFP-01
- Issued by
- Wisconsin
About this file
This is a Change Order executed between the Wisconsin Department of Corrections and Cerner Corporation, a Delaware-based healthcare technology company headquartered in Kansas City, Missouri. The document, dated July 14, 2017, with completion scheduled by December 11, 2017, establishes a framework for professional services related to ACL Laboratories data migration. The key personnel include Steve Zeitlin as the Client Project Manager and multiple Cerner contacts including Jason Blevins, Mitch Morehouse, and Annette Kutchaw, with Sebastien Rouzier serving as the Client Results Executive.
The scope of work involves development and data migration of historical general laboratory results for ACL Laboratories, specifically referencing an HL7 section from page 13 of 35 of an agreed-upon statement of work. Cerner's responsibilities include design, Unit 2 specifications documentation, interface configuration and development, and testing support, while the Wisconsin Department of Corrections handles design decisions, project management, data analysis, testing validation, and final production approval. Notably, the estimated professional services fees are listed as $0, indicating this work may be covered under an existing master agreement or represents a no-cost service amendment to the primary contract.
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CERNER CHANGE ORDER
Prepared For: Wisconsin Department of Corrections ("Client")
3099 E. Washington Ave.
Madison, WI 53704
Effective Date: 07/14/2017
Title: ACL Laboratories Change Order Doc ID: 1356242873 Version: 1 Page 1 of 3
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.
07/14/2017
This Cerner Change Order ("Change Order") is made on the Effective Date, between Client and Cerner Corporation ("Cerner"), a Delaware corporation with its principal place of business at 2800 Rockcreek Parkway, Kansas City, Missouri, 64117. This Change Order merges all prior and contemporaneous communications with respect to the matters described herein, and is subject to, and incorporates by reference, the master business agreement between Client and Cerner (the “Agreement”).
Cerner will provide professional services in accordance with the terms and conditions set forth in this Change Order. The parties will execute a new Change Order or Cerner Sales Order if Client requests additional services or work effort beyond those set forth herein.
CLIENT OBLIGATIONS
Client will perform the activities assigned herein, and will provide assistance to the extent reasonably necessary for Cerner to render the professional services as specified. Client will provide Cerner with timely access to all of Client’s (and any third party’s) facilities and systems reasonably required by Cerner to provide the professional services outlined in this Change Order. The obligations set forth herein apply only to Client’s environment.
Client agrees to:
Designate a project manager to act as the focal point for Cerner relative to this engagement. Client's project manager must have the authority to act on Client’s behalf in matters regarding this engagement.
Provide documentation of requested configurations on an as-needed basis.
Provide Cerner suitable workspace with phone access, if applicable.
PRINCIPAL CONTACTS
Cerner and Client will each designate a representative to act as their principal contact regarding the professional services set forth herein. Each representative will ensure that his/her respective party performs its obligations under this Change Order, and will make himself/herself available, as appropriate, to the other party's representative to discuss issues related to the professional services set forth herein. Each party may designate a new representative by written notice to the other.
Principal Client Contact: Steve Zeitlin
Client Project Manager: Steve Zeitlin
Principal Cerner Contact: Jason Blevins / Mitch Morehouse / Annette Kutchaw
START DATE AND PROJECT DURATION
Start Date: Effective Date: 07/14/17
Completion Date: Completion by: 12/11/17
COMPLETION CRITERIA
DocuSign Envelope ID: C29E5458-2BF7-4A67-A754-52FFFC4E3200 https://doc.wi.gov/Pages/Home.aspx https://doc.wi.gov/Pages/Home.aspx
Title: ACL Laboratories Change Order Doc ID: 1356242873 Version: 1 Page 2 of 3
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.
This engagement will be considered complete when the scope of work is completed pursuant to the tasks set forth herein.
SCOPE OF SERVICES
Development and data migration of historical general laboratory results for ACL Laboratories, in accordance to the agreed upon statement of work, page 13 of 35, HL7 section.
Cerner’s Responsibility:
1. Design
2. Unit 2 Specifications Document
3. Configure and Develop Interface
4. Testing Support / Troubleshooting
Client Responsibility
1. Design / Business Decisions
2. Project Management of the third-party stakeholder and DOC resources (ACL Laboratories)
3. Data Analysis on data extracts provided by ACL
4. Testing and Validation
5. Provides final approval to load in production environment.
PROFESSIONAL SERVICES FEES
The following estimate is based on the scope of work set forth in this Change Order:
Estimated Professional Services Fees: $0
Less Allowance: $N/A
Total Estimated Professional Services Fees: $0
If Client requests any change to the scope set forth in this Change Order, Cerner will assess the financial implications and work with the principal Client contact to find a solution. Cerner and Client will discuss and formalize the fee implications prior to any expansion of scope to include the additional work effort. Activities that are out of scope for the initial engagement and/or support entitlements will be set forth in a new Cerner Sales Order.
AUTHORIZATION
By executing this Change Order, Client agrees to the services set forth herein. This Change Order will automatically expire and be deemed null and void unless executed by Client and returned to Cerner within 30 days prior to the Effective Date.
IMPORTANT: Cerner will not schedule resources for installation and implementation until Cerner has received and processed the executed Change Order.
Title: ACL Laboratories Change Order Doc ID: 1356242873 Version: 1 Page 3 of 3
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.
CLIENT CERNER CORPORATION
By: By:
Sebastien Rouzier
Title:
(type or print)
Title: Client Results Executive
(if applicable)
Please email this executed Cerner Change Order in its entirety, along with Purchase Order (if applicable), to Sebastien Rouzier.
Deputy Secretary Secretary
Cathy A. Jess
| 2017-08-08T13:42:28-0700 | |
| DocuSign, Inc. | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .