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File #: 13222   
Type: Consent Status: Agenda Ready
File created: 11/7/2025 Department: Public Health
On agenda: 11/18/2025 Final action:
Subject: Contract with Tegria Services Group - US, Inc. for Professional Clinical Informatics Consulting Services
Attachments: 1. R2-CON-DPH-11-18-25-Tegria DPH EHR Implementation
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REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

November 18, 2025

FROM
JOSHUA DUGAS, Director, Department of Public Health

SUBJECT
Title
Contract with Tegria Services Group - US, Inc. for Professional Clinical Informatics Consulting Services
End

RECOMMENDATION(S)
Recommendation
1. Approve Contract with Tegria Services Group - US, Inc., including non-standard terms, for professional clinical informatics consulting services to support the electronic health record system implementation, in the not-to-exceed amount of $500,000 for the one-year period of November 18, 2025, through October 31, 2026.
2. Authorize the Director of the Department of Public Health, as the designated official, to approve and sign Statements of Work and amendments to Statements of Work, and non-substantive amendments to the contract with Tegria Services Group - US, Inc., subject to review by County Counsel.
3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments to the contract to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Joshua Dugas, Director, 387-9146)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Improve County Government Operations.
Operate in a Fiscally-Responsible and Business-Like Manner.
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). The total not-to-exceed services cost of $500,000 is funded by Medi-Cal, Medicare, private insurance, existing ongoing 1991 Realignment funds, fee revenue, and other departmental revenue. Adequate appropriation and revenue have been included in the Department of Public Health (DPH) 2025-26 budget and will be included in the 2026-27 recommended budget.

BACKGROUND INFORMATION
DPH is working closely with Arrowhead Regional Medical Center (ARM...

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