To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract Amendment #23-511-7 with Nuance Communications, Inc.
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Order Forms (Contract Amendment #23-511-7) with Nuance Communications, Inc., a corporation, effective July 8, 2025, to increase the payment limit by $388,603, from $1,863,385 to a new payment limit of $2,251,988, and extend the termination date from December 6, 2026 to August 30, 2028 for additional software products, services, maintenance, and support for Contra Costa Regional Medical (CCRMC)'s clinical dictation services.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of up to $388,603 as budgeted by the department and funded 100% by Hospital Enterprise Fund I. (Rate increase)
BACKGROUND:
This Contract Amendment meets the needs of CCRMC as part of a comprehensive suite of integrated dictation and transcription solutions designed to improve clinical documentation, collaboration, and radiology reporting utilized for diagnostic imaging operations and in support of the medical billing coding and compliance governance conducted by CCRMC. These functions are imperative to the accuracy of the diagnostic reports and for receiving the most appropriate claims for services rendered.
A summary of service contract deliverables, including measurable outcomes required of the vendor to be monitored by the department in compliance with Section III(B)(7) of the Purchasing Policy (AB600.3), includes hosting services, technical support for the County's use of the software under the license grant, and access to maintenance and support. This Contract was approved by Health Services Personnel as a specialized services contract to ensure there is no conflict with labor relati...
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