[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6534880,"mediaKeyId","3461106-9347bdcd6572c6b0722f379f270b8472","parentId",3461106,"title","Tahoe Forest board adopts Tahoe Truckee regional homeless action plan, eyes navigation center and 44 supportive units","audioSeconds",1033,"startMs",1730000,"endMs",2763000,"viewUrl","/Search/View?dp=1&key=3461106-9347bdcd6572c6b0722f379f270b8472&start=1730&end=2763","thumbnailUrl","https://assets.pipeline.soar.com/3461106-9347bdcd6572c6b0722f379f270b8472/thumbnail_1730000.jpg","articleUrl","/articles/6534880/California/Tahoe-Forest-board-adopts-Tahoe-Truckee-regional-homeless-action-plan-eyes-navigation-center-and-44-supportive-units","mediaUrl","https://secure.pipeline.soar.com/6534880-41454ae48c261770a0a10d43038086c5/orig.mp4?Expires=1774955150&Signature=QHeNI88budRpVLjd7WPGrakU~06M~~59dejgBnim5msn~b-X9wYbtK7Ijhz7i7~HEDwDM6FkKnieoQOs2LU-6FQdZaV2YSFE3-PzvGa-55THGjAnqHQ~YdLrHKTSmjAyoCnPCOZ~AvwNR3E-2punG25H~jwqYAq5YX2-48nHI4V5PKPU~4EdXmNvKQTKEMoepOvv5be9Wxy7YgdgXLsHAAtww7KN0HXN59KV3Bi~pMS81UsfSYjDVg9adv6ik5StYPFLcUN4k1VbHBanYIGAqPwW4G6S4VNweqU~mufOasxnQbW3ap4eu~TdtdLAI4X~wa0~SiVYv9Ks1mis2ccJmQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Tahoe Truckee Media","date","2025-05-22T16:57:35Z","article","The Tahoe Forest Hospital District Board of Directors voted unanimously to accept the Tahoe Truckee regional homeless action plan and directed staff to continue participating with regional partners on implementation, including early work on navigation-center services and community outreach.

The plan, developed over 18 months with Agnew | Beck as consultant and funded in part by the Community Foundation and state technical-assistance funding, concluded the study area (roughly the Tahoe-Truckee Unified school district boundary) currently contains an estimated 78 unserved households and a disproportionate share of chronically homeless individuals. \"I truly believe that homelessness is caused by lack of housing,\" Jasmine Breaux, program manager, said during the presentation.

Board Chair McGarry and board members discussed the plan’s four strategic areas — crisis stabilization, stable housing for high-vulnerability households, partnership and structure, and sustainable funding — and accepted the recommendation to form an advisory and implementation structure. The plan sets an aspirational goal of ending homelessness in five years and recommends building a regional continuum of care that starts with crisis stabilization (navigation center/interim beds) and expands permanent supportive housing and affordable units.

Key plan findings and recommendations include:
- An 87-slide, data-rich assessment that used local HMIS (Homeless Management Information System) records and community input, including lived-experience interviews and a field visit to South Lake Tahoe.
- A near-term unmet need for crisis-stabilization capacity (the report notes the community lacked a formal emergency shelter during the most recent winter) and an aspirational need for 44 permanent supportive housing units to address the estimated number of chronically homeless individuals.
- Existing pipeline units: Brown Bear Studios (13 permanent supportive units in Kings Beach, Placer County) and an expected 10 units at Pacific Crest Commons (Nevada County). After those developments, the plan estimates a remaining gap toward the 44-unit aspiration.
- Emphasis on a \"housing-first\" approach and on tailoring supports (case management, behavioral health, substance-use linkage) rather than imposing preconditions such as mandatory sobriety.

Presenters stressed implementation challenges: locating and funding a navigation center, identifying a lead entity to hold contracts and manage funds, and community opposition to siting. Jasmine Breaux and Ted Owens, executive director for governance and business development, said the town of Truckee and Nevada County have committed initial funds for implementation planning and that Agnew | Beck is available to continue consulting work. Breaux noted that the temporary warming-shelter model used previously lacked onsite case management and did not move residents into permanent housing.

Board discussion focused on roles for the district and partners, the need to identify a site to catalyze philanthropy, and the difficulty of sustaining weather-triggered shelters. Several board members emphasized the health system’s stake in the work because emergency-department visits and other acute care use increase when people lack stable housing.

After public and board discussion, a board member moved to accept the plan and provide direction to staff to continue participating in the Tahoe Truckee Homeless Advisory Committee work; the motion was seconded and approved 5-0.

The presenters and partners made clear there was no financial request to the hospital board at the meeting; staff said future requests and funding scenarios would come through implementation planning and the proposed work groups.

The board will receive updates as the advisory committee and work groups pursue site identification, funding strategies and an operational model for crisis stabilization and permanent-supportive-housing development.","mediaType","Video","parentTitle","Tahoe Forest Hospital District Board Meeting, May 22, 2025","oneSentenceSummary","The Tahoe Forest Hospital District Board of Directors voted unanimously to accept the Tahoe Truckee regional homeless action plan and directed staff to continue participating with regional partners on implementation, including early work on navigation-center services and community outreach.","taxTitle","Tahoe-Truckee Unified, School Districts, California","taxId",46654,"location","California","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6534870,"Board holds AB 2561 public hearing on vacancies, approves procedures for annual staffing report",1030,4133000,5163000,"/Search/View?dp=1&key=3461106-9347bdcd6572c6b0722f379f270b8472&start=4133&end=5163","https://assets.pipeline.soar.com/3461106-9347bdcd6572c6b0722f379f270b8472/thumbnail_4133000.jpg","/articles/6534870/California/Board-holds-AB-2561-public-hearing-on-vacancies-approves-procedures-for-annual-staffing-report","https://secure.pipeline.soar.com/6534870-40b37b72355e99597f816405dd8ccf99/orig.mp4?Expires=1774955150&Signature=biD4GNHFUCfZvfRpWqqeXsbTy5ToyGLha8v0HLuB5-vST~mrlBaT5RMDRBCAoBIn83TGxYvdY~Wd-facLUJxtruHGxOBX-eOudQw9BXKhF51LUw9camFLqOZzfPcCef0y~KoCTMDflaWNZBbqRzfTglynOr3pwdsBX5pLl7QLMH5JGx5PffBppAM4obawlbVWUxEFB1Utnz9AmrdBkeiBFF4bDMAvLHuHLuo0o8D-gyTCqKxZqGdvCaw9S82iDwFdjTfXShK41uoPYnm2GGD1ciOOiL6r6uiJFJKxwDVbkj-zDqW0J58t~mdhEjqAnPcTOP~Vlhb6pQ-7swpmbRJtA__&Key-Pair-Id=KUT5TJCACFTXG","The Tahoe Forest Hospital District held a public hearing required by state law (AB 2561) on workforce vacancies, recruitment and retention and adopted a district procedure to govern future annual public hearings and reporting.

District President and CEO Anna Roth and interim Chief Operating Officer/Interim Chief Human Resources Officer Louie Ward presented the district’s May 1 staffing snapshot and described the new statutory requirements. Louie Ward introduced recruiter Lucy Wright and HR leader Lauren Caprio, who delivered the vacancy and retention metrics the law requires.

Key metrics presented to the board (snapshot date: May 1):
- Total district headcount: 1,423 employees (includes employed physicians).
- Employee Association (EA): 515 budgeted full-time positions with 27 vacancies (vacancy rate 5.26%).
- Employee Association of Professionals (EAP): 200 budgeted full-time positions with 0 vacancies (vacancy rate 0%).
- District median tenure: 6.8 years (compared with a U.S. health-care industry median of 3.6 years, Jan 2024, Bureau of Labor Statistics).
- District turnover (calendar year 2024): 12.2% (compared with industry average ~18% per Press Ganey).

Staff told the board the district did not meet the 20% vacancy threshold that would trigger additional required disclosures for any bargaining unit. The presentation described recruitment and retention strategies used by the district, including market-aligned salaries, comprehensive benefits, on-site childcare, tuition reimbursement, an advanced-practice-provider loan-repayment program, and a partnership with Truckee Tahoe workforce housing.

Under the statute, the board must allow recognized employee organizations to present during the hearing; staff reported that union president Julie Morgan was notified but did not provide a presentation at this hearing. The district said it will hold the hearing annually before adopting the final fiscal-year budget and will develop a policy and procedure to standardize the process.

After questions from board members about notice, timing and the new procedure, a board member moved to adopt Resolution No. 2025-06 (the procedural exhibit formalizes notice timelines and the order of the hearing). The motion was seconded and the board approved the resolution 5-0.

The board indicated the district will return with an annual update in May moving forward, and staff said they will draft a district policy and procedure to ensure consistent notice to bargaining units and to define how additional disclosures (for >20% vacancy) would be handled.","Tahoe Forest Hospital District held its first AB 2561 public hearing on workforce vacancies and adopted a procedures resolution to govern future annual public hearings and reporting; the board recorded low vacancy rates and strong retention metrics and approved the procedural resolution 5-0.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6534875,"Board approves medical-staff consent agenda; policies tweak IV-contrast GFR threshold and expand occupational-health RN duties",346,1210000,1556000,"/Search/View?dp=1&key=3461106-9347bdcd6572c6b0722f379f270b8472&start=1210&end=1556","https://assets.pipeline.soar.com/3461106-9347bdcd6572c6b0722f379f270b8472/thumbnail_1210000.jpg","/articles/6534875/California/Board-approves-medical-staff-consent-agenda-policies-tweak-IV-contrast-GFR-threshold-and-expand-occupational-health-RN-duties","https://secure.pipeline.soar.com/6534875-975c7f5c1b3c44df2870f286ae15cbac/orig.mp4?Expires=1774955150&Signature=PYyh3qQ~HVeZTvaXpZp4WqGuTdE4sBXaUKpj~~iXTkbQBbNhUWaZiJx9mgTvNQWkwimgc9eTjIPso2D-Od1-Az6UODrBhUUaxzGRTGrM2cWUW4llciLojso2j~KW3aFzY0hM6vkVZcf-oDtMNYxabifbTHvSxgFD5eg2XkN9pGn-lIGFSueD93s7v9H861IVvzz7Ff32EW74sWRaE8t8laq~ifZ5hf94SZs~rJyF0cOKYM2VyqClsb4yml4X00JntltLZK6Dd5EQJ4d-IViiUmLK2NSN7tYrdj6VW~0tg1D6Ey2ozOpNGqcrtnUlj9s6~n3mVlpkfaMykIpLibOhnQ__&Key-Pair-Id=KUT5TJCACFTXG","The Tahoe Forest Hospital District Board of Directors approved the medical-staff consent agenda and the full consent calendar by unanimous vote, accepting multiple policy updates and procedural summaries the medical staff executive committee presented.

Dr. Koch and the medical-staff executive committee summarized a slate of largely technical policy changes that medical leadership recommended for approval. Key technical policy changes noted during the summary included updates in interventional radiology (added risk statements, RVU minimums and daily-coverage clarifications) and in imaging policies.

In the radiology policies the board was specifically told that the hospital changed the IV-contrast glomerular filtration rate (GFR) criterion to allow contrast studies for patients with GFR greater than 30 rather than the previous threshold of 60; the committee said the change is supported by data and increases patient access to contrast-enhanced imaging. As one presenter explained: \"GFR. Glomerular filtration rate, how fast your kidneys are processing the dye, and whether your kidneys can handle the hit from the dye.\"

Another notable change approved in the medical-staff packet was the new occupational-health registered-nurse policy. The policy allows occupational-health RNs to perform limited clinical tasks similar in scope to primary-care indirect nursing teams: review test results, inform patients about normal results, take actions on mildly abnormal labs, and consult a provider before acting on seriously abnormal results. Presenters emphasized this policy is more restrictive than primary-care protocols because it applies to employees and carries privacy implications.

Board members were also briefed on a new requirement that policies include a formal risk statement explaining what risk the policy mitigates. Staff explained the district recently adopted a standardized risk-statement requirement (described as a high-reliability initiative) so summaries in board packets now present risk statements rather than older \"purpose\" statements.

After summary discussion, a board member moved to approve the medical-staff consent agenda as presented and the motion was seconded; the medical-staff consent agenda was approved 5-0. The district then moved to the full consent calendar, and the board approved those items 5-0 as well.

Board members noted the packet’s condensed format is useful for oversight of the district’s roughly 4,000 policies, and staff said full policies remain available to any director for review.

Actions recorded at the meeting included formal approval of the medical-staff consent items and the consent calendar; staff will proceed with policy updates and publish the revised policies in accordance with hospital procedure.","The Tahoe Forest Hospital District board approved the medical-staff consent agenda and the broader consent calendar 5-0; policy updates include changing the IV-contrast glomerular filtration rate threshold from 60 to greater than 30 and a new occupational-health registered-nurse policy that allows limited lab review and patient outreach.","actionData","errors"]

Article not found

Tahoe Forest board adopts Tahoe Truckee regional homeless action plan, eyes navigation center and 44 supportive units

Board holds AB 2561 public hearing on vacancies, approves procedures for annual staffing report

Board approves medical-staff consent agenda; policies tweak IV-contrast GFR threshold and expand occupational-health RN duties