REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
September 23, 2025
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Contract with The Joxel Group, LLC for Consulting and Technical Support Services
End
RECOMMENDATION(S)
Recommendation
Approve Contract with The Joxel Group, LLC, for the provision of Consulting and Technical Support Services for the myAvatar Electronic Health Record system in an amount not to exceed $1,200,000 for the period of October 1, 2025, through the earlier of September 30, 2029, or utilization of 8,000 hours of services.
(Presenter: Georgina Yoshioka, Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The recommended contract in an amount not to exceed $1,200,000 is funded through the Mental Health Services Act. Adequate appropriation and revenue have been included in the Department of Behavioral Health (DBH) 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to county residents experiencing severe mental illness and/or SUD. To meet the needs of such residents and comply with state and federal requirements, DBH implemented a Behavioral Health Management Information System through a contracted partnership with Netsmart Technologies (Netsmart) in 2017. In 2019, as a subcontractor to Netsmart, The Joxel Group, LLC (Joxel) began to provide consultation and system development services in support of DBH's electronic health record, myAvatar (EHR). Given the county's extensive geographic size, complying with the federal and state reg...
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