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Augmedix Notes – Product Schedule

Last Updated: October 10, 2023 

 

1.               DEFINITIONS

1.1           “Augmedix Notes” means the virtual, medical documentation assistance Service provided to Customer and its Authorized Users by Medical Documentation Specialist(s) from recordings of patient-provider encounters captured via a Content Capture Device(s), and the accompanying Augmedix Application, Notebuilder Platform and any associated software or tools.

1.2           “Customer Facility(-ies)” means the certain designated Customer facility or facilities identified in the applicable Service Order.

1.3           “Content Capture Device(s)” means that/those certain smartphone(s) or other wearable device(s) provided by Augmedix to Customer’s to enable Augmedix Notes on behalf of Customer’s Authorized Users.

1.4           “Medical Documentation Specialist” (“MDS” or “MDSs”) means an Augmedix-supplied individual who provides virtual medical documentation assistance for an Authorized User.

2.               IMPLEMENTATION SERVICES

2.1      Authorized User Selection. To the extent practicable, Customer’s designated Authorized Users should be identified in the applicable Service Order.  To the extent not identified in the Service Order, Customer shall provide a list of its selected Authorized Users to Augmedix no later than thirty (30) days prior to the first day Augmedix produces patient notes that are uploaded to the Customer EHR for one or more Authorized Users.  Augmedix will provide rolling guidance on the target Launch Date (as defined in Section 3.2 below) for each Authorized User.  Customer may swap one Authorized User for another Authorized User up to the applicable Launch Date of the Authorized User.

2.2         Kick-off Call. Augmedix will initiate and conduct a kick-off call with Customer to collect Authorized Users’ templates, macros and smartsets, discuss workflow and coordinate appropriate access to the Customer’s electronic health record system (“Customer EHR“).

2.3         Technical Site Evaluation and Network Infrastructure Setup. Augmedix’s Site Connectivity Requirements are set forth on Schedule 1 hereto.  To determine whether Customer’s network infrastructure supports Augmedix Notes, Augmedix will assist remotely with a wireless network assessment on a mutually agreed upon date.  If Augmedix determines Customer’s network infrastructure fails to support Augmedix Notes, Customer shall be responsible for the cost of any remediation necessary to enable its wireless network infrastructure to support Augmedix Notes.

2.4         Augmedix Notes Deployment. Augmedix will coordinate and manage the deployment of Augmedix Notes on an Authorized User-by-Authorized User basis. During the deployment, Augmedix will provide training to the Authorized User and for one or more MDS(s) working with the Authorized User such that MDS(s) are able to satisfactorily complete and upload notes for patient visits for the Authorized User’s review and finalization.

3.               AUGMEDIX NOTES SOLUTION

3.1       Augmedix Notes. Commencing on the effective date of the applicable Service Order and continuing throughout the remainder of the Subscription Term of such Service Order, Augmedix will provide Augmedix Notes as specified herein and in the applicable Service Order. Utilizing their Content Capture Devices, Authorized Users will connect and use the Augmedix Application to send a secure audio/video recording of the clinician-patient encounter to an MDS, who will view the encounter and utilize Augmedix’s proprietary Notebuilder Platform to prepare the draft medical documentation. Augmedix will then upload the medical documentation into the Customer EHR, in pending status, awaiting the Authorized User’s review, finalization and approval. Authorized User’s shall be ultimately responsible for the content of any medical documentation prepared by Augmedix on an Authorized User’s behalf. Augmedix will ensure that all MDSs comply with the terms and conditions of all agreements between Customer and third parties relating to the use of the Customer EHR. Customer may access and use Augmedix Notes solely for its internal business purposes and such access and use is expressly limited to the number of Authorized Users for which Customer has paid Fees in accordance with the applicable Service Order.

3.2           Service Phase. The service phase (“Service Phase”) consists of ongoing virtual, non-real time medical documentation assistance by Augmedix-supplied MDSs on behalf of Customer’s designated Authorized Users. The Service Phase will commence on the first day Augmedix produces patient notes that are uploaded into the Customer EHR, on an Authorized User-by-Authorized User basis (each a “Launch Date”), and continue for the remainder of the Subscription Term of the applicable Service Order.

3.3.      Seat Transfers. Authorized User’s Augmedix Notes Subscriptions may not be shared or used by more than one individual Authorized User; however, Authorized User Subscriptions may be transferred at no cost to new Authorized Users replacing individuals who will no longer use the Service, provided that all of the following criteria are satisfied: (i) the new Authorized User practices the same specialty, (ii) Customer notifies Augmedix of the transition to the new Authorized User no later than thirty (30) days prior to the terminating Authorized User’s last day of Service; and (iii) the new Authorized User’s Launch Date is not more than thirty (30) days after the terminating Authorized User’s last day of Service. In the event the foregoing criteria are not met, standard Implementation Fees will apply to the new Authorized User.

4.         PROVISION OF HARDWARE

4.1           Content Capture Devices. The Content Capture Devices and other hardware or materials provided for the purpose of delivering Augmedix Notes are owned (or leased) by Augmedix. Augmedix shall be responsible for ensuring the availability and functionality of sufficient Content Capture Devices to provide the Services purchased pursuant to a Service Order. In the event Customer desires supplemental Content Capture Device(s) to service additional Customer Facilities, Customer shall pay a monthly fee for such additional Customer Facilities, as specified in the applicable Service Order. Subject to Customer’s compliance with this Section 4, the acquisition, installation, configuration, and maintenance of the Content Capture Devices, including installation of all updates and other upgrades to the Augmedix Application, will be solely the responsibility of Augmedix.

4.2           Customer Responsibilities. Customer shall ensure that Authorized Users: (a) maintain the Content Capture Devices in good repair, condition and working order; and (b) use the Content Capture Devices in accordance with the applicable user manual(s) and guidelines provided from time to time by Augmedix. Upon receipt of a Content Capture Device, Customer shall bear the entire risk of loss, damage, theft, or destruction of the Content Capture Device or any part thereof, from any and every cause whatsoever, which shall occur prior to the return of the Content Capture Devices to Augmedix, excluding reasonable wear and tear.

4.3           Maintenance. In the event any Content Capture Device breaks or functions incorrectly, due to no fault of Customer, Augmedix shall use commercially reasonable efforts to repair or replace such device as soon as reasonably practicable.

4.4           Prohibitions Related to Content Capture Device. Customer shall not: (a) sublease any of the Content Capture Devices; (b) create or incur, or permit to exist, any lien or encumbrance with respect to any of the Content Capture Device; (c) load any software other than the Augmedix Application onto any Content Capture Device; (d) disable any protective safeguards; or (e) use the Content Capture Devices outside of the approved Customer Facilities or for any purposes other than those set forth in the applicable Service Order.

4.5           Return. Upon the termination or expiration of the applicable Subscription Term or this Agreement, Customer will disconnect, package and return the Content Capture Devices to Augmedix in the same condition as when delivered to Customer, ordinary wear and tear excepted. To the extent that any Content Capture Device is damaged or not returned for any reason, Augmedix may invoice Customer its reasonable costs for repair or replacement of such Content Capture Device, and Customer shall promptly pay such costs within thirty (30) days of receiving such invoice.

5.              CUSTOMER OBLIGATIONS

5.1           IT, Telecommunications and Internet Services. Customer acknowledges and agrees that Customer’s and its Authorized Users’ use of Augmedix Notes is dependent upon access to telecommunications and internet services meeting certain minimal site connectivity requirements. Except for the Content Capture Device(s) and Augmedix Application, Customer shall be solely responsible for acquiring and maintaining all telecommunications, internet services, and other hardware and software required to access and use Augmedix Notes, including, without limitation, any and all costs, fees, expenses, and taxes of any kind related to the foregoing. Augmedix shall not be responsible for any loss or corruption of data, lost communications, or any other loss or damage of any kind arising from any such telecommunications and internet services.

5.2           Access. At no cost to Augmedix, Customer shall provide Augmedix (and any of its third-party MDS suppliers) with appropriate access and related credentials for use of Customer EHR, and any other required Customer Materials, as necessary for Augmedix to provide Augmedix Notes to Customer. Customer must provide all credentials and permissions necessary for Augmedix personnel to access the Customer EHR within two (2) weeks of Augmedix’s written request. If credentials are not provided within two (2) weeks of Augmedix’s written request, Augmedix cannot guarantee Augmedix Notes and reserves the right to delay Customer’s Launch Date until appropriate Customer EHR credentials can be provided by Customer.

5.3           Recording of Patient Encounters. In order to enable Augmedix Notes, Authorized Users shall be responsible for initiating a recording on the Content Capture Device through the Augmedix Application at the beginning of each patient-provider encounter and stopping the recording at the conclusion of the visit. For clarity, Authorized Users shall not record patient-provider encounters in a block of two or more visits; each patient-provider encounter shall be recorded separately. In the event an Authorized User fails to record each patient-provider encounter separately, Augmedix will make good faith efforts, but cannot guarantee, that patient notes will be available for review and finalization within four (4) hours of upload.

5.4           Patient Education and Consent. Customer shall: (a) inform each patient, prior to an Authorized User’s use of Augmedix Notes with such patient, of the function, extent, and purpose of Augmedix Notes and utilization of audio/video equipment by means of the Content Capture Device in accordance with all applicable laws and regulations; and (b) obtain the patient’s consent, to the extent required under applicable laws and regulations, for the Authorized User to use Augmedix Notes. Without limiting the foregoing, Customer may utilize patient education materials, including FAQs, provided by Augmedix (“Education Materials”). If Customer chooses to utilize the Education Materials, Customer agrees not to make any material changes to the Education Materials without Augmedix’s prior written consent.

5.5           Scheduling. Seven (7) days prior to the Launch Date for an Authorized User and the start of each month thereafter, Customer shall input a daily schedule for each Authorized User for each day of the following month in Customer EHR or other Customer scheduling software (“Daily Schedule”). The Daily Schedule will be used by Augmedix to staff MDSs for Augmedix Notes. If Customer does not notify Augmedix seven (7) days in advance of clinic, Augmedix cannot guarantee MDS availability.

5.5.1     Customer must provide seven (7) days’ written notice in advance of any material Daily Schedule change during a month. If less than seven (7) days’ written notice is received, Augmedix will make good faith efforts, but does not guarantee, to accommodate such requests.

5.6           EHR Transitions. In the event Customer transitions from one EHR system to another EHR system, Customer shall provide at least sixty (60) days’ written notice to Augmedix. The parties shall negotiate reasonably and in good faith to agree upon the details of a project plan for the transition. The failure to provide Augmedix with the required notice or to abide by the agreed-upon project plan for an EHR transition may negatively impact the continuity of Augmedix Notes. Subject to the foregoing, transition services will be provided by Augmedix and paid for by Customer on a time and cost basis.

Schedule 1

Site Connectivity Requirements

1.  Internet Service Provider

  • Cable or Fiber internet connectivity

2. Wireless Infrastructure

  • Access Point (AP) model offers 802.11n or greater
  • WPA2 PSK (AES) or WPA2 PEAP authentication
  • PMK Key Caching enabled (CCKM also acceptable)
  • DHCP required

3. Firewall Services and Ports

Enable on the firewall, all outbound originated Augmedix network traffic, the requirements of which will be provided by Augmedix separately.