Butler County Health Department renews Nightingale Notes subscription at $21,997

Mar 24, 2026

The Health Department renewed its Nightingale Notes electronic health record subscription for $21,997 for April 1, 2026–March 31, 2027; staff cited integration with state registries and improved billing and reporting as reasons for renewal.

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Butler County’s Health Department renewed an annual subscription for Nightingale Notes, an electronic health record and clinic management software, at a cost of $21,997 for the period April 1, 2026, through March 31, 2027. Health Department Director Jamie Downs summarized the department’s use of Nightingale Notes since 2013 and described interoperability with state systems.

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