REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 10, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Contract with Nuance Communication, Inc., for Software, Service, and Equipment
End
RECOMMENDATION(S)
Recommendation
Approve agreement with Nuance Communications, Inc., including non-standard terms, for clinical medical dictation and voice recognition software, services, and equipment at Arrowhead Regional Medical Center in the amount not-to-exceed $4,200,000 for the period of July 1, 2025 and expires sixty months thereafter.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost) as the cost of $4,200,000 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue will be included in the Arrowhead Regional Medical Center (ARMC) 2025-26 recommended budget and future recommended budgets.
BACKGROUND INFORMATION
Approval of the agreement with Nuance Communications, Inc. (Nuance) will provide ARMC with voice recognition software and equipment utilized daily by practitioners throughout ARMC inpatient and outpatient settings for documentation of patient encounters into patient's electronic health record. It also provides the option to use medical dictation/transcription services as a backup during system downtimes or emergencies. The voice recognition software product will allow practitioners to view and edit documents immediately, rather than dictating at one ...
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