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File #: 5562   
Type: Consent Status: Passed
File created: 2/18/2022 Department: Arrowhead Regional Medical Center
On agenda: 3/1/2022 Final action: 3/1/2022
Subject: Amendment to Agreement with Nuance Communications, Inc. to Convert Clinical Medical Dictation and Voice Recognition Services to Epic
Attachments: 1. CON - ARMC - 3-1-22 - Amendment No. 1 to Agreement with Nuance Communications.pdf, 2. COV - ARMC - 3-1-22 - Amendment No. 1 to Agreement with Nuance Communications.pdf, 3. Item #7 Executed BAI, 4. 20-70-A-2 Executed Contract
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

March 1, 2022

FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center

SUBJECT
Title
Amendment to Agreement with Nuance Communications, Inc. to Convert Clinical Medical Dictation and Voice Recognition Services to Epic
End

RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 20-70 with Nuance Communications, Inc. to convert clinical medical dictation and voice recognition services to Epic, the new electronic health record at Arrowhead Regional Medical Center, with no change to the contract amount of $3,589,932 and no change to the contract period of February 21, 2020 through February 20, 2025.
(Presenter: William L. Gilbert, Director, 580-6150)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
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) as there is no additional cost associated with this amendment. The underlying agreement for this amendment 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. Sufficient appropriation and revenue are included in the Arrowhead Regional Medical Center (ARMC) 2021-22 budget and will be included in future recommended budgets.

BACKGROUND INFORMATION
Nuance Communications, Inc. (Nuance) provides voice recognition services utilized daily by practitioners throughout ARMC inpatient and outpatient settings for documentation of patient encounters into a patient's medical record. It also provides the option to use medical dictation/transcription services as a backup during system downtim...

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