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File #: 25-4388    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 10/9/2025 In control: BOARD OF SUPERVISORS
On agenda: 10/21/2025 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Abridge AI Inc, in an amount not to exceed $2,180,080 for a hosted ambient clinician conversation documentation software system and maintenance and support services for Contra Costa Health for the period November 1, 2025 through October 31, 2028 and for successive one year terms thereafter until terminated. (100% Hospital Enterprise Fund I)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #23-883 with Abridge AI Inc.
?Recommendation of the County Administrator ? Recommendation of Board Committee


RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Master Service Agreement (Contract #23-883) with Abridge AI Inc., a corporation, in an amount not to exceed $2,180,080, for a hosted ambient clinician conversation documentation software system and maintenance and support services for Contra Costa Health (CCH) for the period November 1, 2025 through October 31, 2028, and for successive one (1) year terms thereafter until terminated under the agreement.

FISCAL IMPACT:
This Contract will result in contractual service expenditures of up to $2,180,080 over a three-year period and will be funded 100% by Hospital Enterprise Fund I revenues.

BACKGROUND:
This Contract meets the needs of CCH by providing a clouded-hosted ambient clinician conversation documentation platform. CCH credentialed clinicians spend time after each patient visit documenting the encounter and creating a complete note. The latest developments in Artificial Intelligence (AI) enable AI to listen to an audio recording of a clinical conversation and draft a note, which the provider can curate. The Abridge Platform provides the County and its credentialed clinicians healthcare providers access to Encounter Data, the recorded conversations made by CCH credentialed clinicians using the Abridge Platform with a patient, as well as transcripts and other information related to the conversation between credentialed clinicians and patients, including (a) audio recordings collected through the Abridge Platform, (b) transcripts of such recordings generated by the Abridge Platform, and (c) notes generated by the Abridge Platform based on such transcripts. On January 10, 2025, after a competitive bid process, Contra Costa County Public Works...

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