REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 17, 2026
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with InvisAlert Solutions, Inc.
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Agreement No. 23-577 with InvisAlert Solutions, Inc., for a patient observation compliance program through their ObservSMART software, to add Schedule 5.A incorporating prices for ObservSMART beacons and wristbands, and increasing the not to exceed amount by $200,000, for a total agreement amount of $485,125, with no change to the term of July 1, 2023 through June 30, 2028.
(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). The cost of $200,000 is funded by State Medi-Cal, Federal Medicare, private insurance, and other departmental revenues. 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 have been included in the Arrowhead Regional Medical Center (ARMC) 2026-27 budget and will be included in the 2027-28 recommended budget.
BACKGROUND INFORMATION
ARMC uses InvisAlert Solutions, Inc.’s (InvisAlert) ObservSMART system as a patient observation compliance program for behavioral health patients. The patient monitoring system uses secure wristbands with built-in beacons to support patient safety and staff accountability. The system allows healthcare staff to complete, and documents require patient observations by confirming their proximity to the patient. It also provides alerts for missed observations and tracking tools to help staff monitor compliance. These features support patient safety, improve staff workflows, and help healthcare facilities meet required observation standards.
Through the ObservSMART system, ARMC staff will use mini-iPads with proprietary software that is synchronized with waterproof, tamper-resistant wristbands and clasps to complete patient checks. The tamper-resistant wristbands prevent removal of critical patients identifying information to lessen disruptions to care for behavioral health patients. InvisAlert’s ObservSMART patient observation compliance program supports ARMC in meeting the requirements of regulatory agencies, The Joint Commission, and the Centers for Medicare & Medicaid Services.
On June 27, 2023, (Item No. 18), as the result of a non-competitive procurement, the Board of Supervisors (Board) approved Agreement No. 23-577 (Agreement) with InvisAlert, including non-standard terms, for a patient observation compliance program through their ObservSMART software, in the total amount of $285,125, for the term of July 1, 2023 through June 30, 2028.
On March 10, 2026, (Item No. 11), the Board approved Amendment No. 1 to the Agreement with InvisAlert, to add a Business Associate Agreement, with no changes to the total agreement amount of $285,125, or the term of July 1, 2023 through June 30, 2028.
Approval of Amendment No. 2 to the Agreement with InvisAlert will add Schedule 5.A, which incorporates pricing for beacons and wristbands for the InvisAlert ObservSMART system. The required patient wristbands, which were not reflected in the original budget approved by the Board on June 27, 2023. The estimated cost is based on an internal study of patient admissions from 2023 through 2026. The language to purchase the wristbands was advertently omitted from the original agreement.
ARMC recommends approval of the amendment to help healthcare teams confirm required safety checks are completed accurately and on time while providing alerts. The amendment will also support the County goal of providing for the safety and health of County residents through proper patient monitoring services.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Kaleigh Ragon, Deputy County Counsel, 387-5455) on November 12, 2026; Purchasing (Veronica Pedace, Buyer III, 387-2464) on October 14, 2026; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on October 22, 2026; and County Finance and Administration (Jenny Yang, Administrative Analyst, 387-4884) on October 23, 2026.