To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #23-511-6 with Nuance Communications, Inc
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #23-511-6 with Nuance Communications, Inc., a corporation, effective October 1, 2023, to amend Contract #23-511-5, for additional software products, services, maintenance, and support for Contra Costa Regional Medical Center’s clinical dictation services utilizing Nuance’s Dragon Ambient eXperience Express, with no change in the original payment limit of $1,312,385, and no change in the original term of December 7, 2021 through December 6, 2026.
FISCAL IMPACT:
Approval of this amendment will not result in additional annual expenditures by the department over the 3-year period and will be funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
This contract meets the needs of Contra Costa County Health Services (CCHS) as part of an integrated dictation and transcription solution.
On December 7, 2021, the Board of Supervisors approved Contract #23-511-5 with Nuance Communications, Inc., in an amount not to exceed $1,312,385 for the provision of its Dragon Ambient Experience tool, for the period from December 7, 2021, through December 6, 2026, allowing CCHS to address the needs of staff requests related to compliance with the American Disabilities Act by providing a tool that reduces the need for computer peripherals such as a keyboard and mouse. The Dragon Ambient Experience tool is a comprehensive Artificial Intelligence (AI)-powered voice-enabled solution that listens to clinician-patient conversations while offering workflow and knowledge automation to complement the electronic health record.
Under Contract #23-511-6, Nuance will implement its Dragon Ambient eXperience Express (DAX Express) tool, which utilizes the latest AI model, GPT-4, to enhance service and user experience.
Nuance was issued a sole source contract for its DAX Express solution.
Approval of Contract Amendment Agreement #23-511-6 will allow the contractor to provide additional software products, services, maintenance, and support for Contra Costa Regional Medical Center’s clinical dictation needs through December 6, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, CCRMC providers and patients will not have access to the latest dictation technology. Dragon Ambient eXperience Express will allow the providers to focus more on the patient instead of the keyboard, improving patient experience and provider retention.
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I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. |
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ATTESTED: |
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Monica Nino, County Administrator and Clerk of the Board of Supervisors |
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By: |