[{"_1":2,"_111":-5,"_112":-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",[32,75,87,99],{"_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":68,"_72":73,"_74":73},"mediaId",6522960,"mediaKeyId","5066461-2dd0cc21d00064e87f5f1ba1313d01e9","parentId",5066461,"title","EMS report: offload times drop, nurse‑navigator pilot limited so far; RFP work constrained by state timelines","audioSeconds",668,"startMs",2883000,"endMs",3551000,"viewUrl","/Search/View?dp=1&key=5066461-2dd0cc21d00064e87f5f1ba1313d01e9&start=2883&end=3551","thumbnailUrl","https://assets.pipeline.soar.com/5066461-2dd0cc21d00064e87f5f1ba1313d01e9/thumbnail_2883000.jpg","articleUrl","/articles/6522960/Santa-Clara-County/California/EMS-report-offload-times-drop-nursenavigator-pilot-limited-so-far-RFP-work-constrained-by-state-timelines","mediaUrl","https://secure.pipeline.soar.com/6522960-f86c7ba23d9856946d42089b273f477b/orig.mp4?Expires=1773578936&Signature=QxTWG5wnnaY~3ZRnhGWAx6ItfPIC84YM~fFe~6DU~a6PpFZmuabjpZnYX3zbF1jD5a3FNKGxEVi7E-xzXuZIWHKVzK9YMtpPF-p6SRLW6UrjGP17KWgiIrKUxarJu5w~XHeE7rHKRHzFVntYJwYqFxD4C~f1J36ZEvmhp9SR1bSIAOleknuR1mBkEEPaF7e7IS7CILufQtr48RTY8eKzWsgeC7AVkyVV1NlGqkZklFzwj7gwyxaDeHVfdQRWXelgi4oJvYDNlGvVYSfUp4pVaZvYLrkvYcCQItRPlZpbVE4TQqu2Xpl-Okh3F1rPXoXSFpGMToDRjfvwUzoNzsjegw__&Key-Pair-Id=KUT5TJCACFTXG","author","Santa Clara County","date","2025-06-24T19:28:27.38Z","article","Santa Clara County's Emergency Medical Services division updated the Health and Hospital Committee on several fronts: measured reductions in ambulance patient offload delays, early usage of a nurse navigator pilot, a PCR‑to‑EPIC data integration timeline, and progress toward an EMS system assessment and billing services request for proposals (RFP).

\"A lot of compounding factors play a role but certainly Santa Clara Valley Healthcare's engagement and Regional Medical Center have played a significant role in supporting that reduction,\" EMS Director Nick Clay told the committee, describing declines in patient offload delays and improved throughput.

Key operational data: County and hospital staff cited sharp reductions in ambulance offload delays: committee materials noted Valley Medical Center's 90th‑percentile offload time in May was about 50 minutes lower than in January, and O'Connor Hospital's 90th‑percentile time was about 70 minutes lower over the same span. Presenters also said interfacility transfers rose roughly 50% as the system rebalanced capacity.

Nurse navigator pilot: The county's pilot — which allows select 911 callers or field providers to be offered a telephonic nurse navigator alternative to ambulance transport — has had about 100 uses from Nov. 13 through late May, staff said. \"It's not necessarily that people are saying no; it's that we need to offer it to more patients,\" said a program lead. EMS staff plan to expand criteria and add a field‑referral protocol that paramedics can use to initiate navigation from the scene.

Data and procurement timelines: Staff described a PCR‑to‑EPIC project timeline that could take up to four months for TSS approval and a 120‑day window to implement. On the RFP for EMS assessment and billing, county staff said they are actively collecting data from partner agencies but warned that state EMS authority approval of any procurement could add many months — an external factor the committee cannot control. Staff also noted the absence of finalized state regulations in this area is a complicating factor.

Committee action: The committee voted to receive the EMS reports and asked staff to provide additional data requested by supervisors, including frequency and trends of supplemental ambulance callouts.","mediaType","Video","parentTitle","County of Santa Clara Health and Hospital Committee June 24, 2025 9:30 a.m.","oneSentenceSummary","County EMS reported improved ambulance patient offload times and described a nurse navigator pilot with limited early use; staff outlined an EMS system assessment and a planned request for proposals but warned state approvals and missing statewide regulations could slow procurement.","taxTitle","Santa Clara County, California","taxId",2855,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6522964,"County-run Regional Medical Center sees rising census, eases wait times across system",901,3187000,4088000,"/Search/View?dp=1&key=5066461-2dd0cc21d00064e87f5f1ba1313d01e9&start=3187&end=4088","https://assets.pipeline.soar.com/5066461-2dd0cc21d00064e87f5f1ba1313d01e9/thumbnail_3187000.jpg","/articles/6522964/Santa-Clara-County/California/County-run-Regional-Medical-Center-sees-rising-census-eases-wait-times-across-system","https://secure.pipeline.soar.com/6522964-c85f961da8fd5ef57395d5897e4d6af1/orig.mp4?Expires=1773578936&Signature=NpVmK0PnE2ipTst7B4wUoGcaPKWJgRGGyPCWOTXc4Jzx76Kvgf525pwsHT08xiffhNikSoWE0~iMWRQyqbex3N--fJ7I5JAXOSiZ8epK1~RI9eZ1QkhXv~Xf9A7Dq-k2fSGiX2BV9RVt9BooS3xFFF1AE9e-RdMvrViaSioEiSqjNwuRYbNSAQ-3vw1bO4W-7dKkFl25yCtBrb7h63z1ObGohqXFcTeTT~9a6NDjq6OPPfUPP37hyctfnFd3r8i~wPPC4NRwINCH1j~hvx2kbtwc9-BoodBZMTFJCUr3naBOaFcfYYTnEpyf7diBxF1dRd0bYkKIXIuKwaV-5yGu2Q__&Key-Pair-Id=KUT5TJCACFTXG","Santa Clara Valley Health officials told the Health and Hospital Committee that patient volume at the county‑run Regional Medical Center (RMC) rose in May and that the system has seen measurable reductions in emergency department wait times and patient offload delays since the hospital's acquisition.

\"The average daily census at Regional Medical Center in May was 159, which is up from 138,\" said a representative for the health system, noting a roughly 6% increase in emergency department volume at RMC. \"In spite of the increase in volume at RMC, we have not seen a significant decrease in volume at our other hospital. As a system, we have seen increases in patient volume and patient census.\"

Officials and committee members said the acquisition has improved access to specialists and inpatient capacity. Committee members heard operational metrics showing decreased ED wait times at system hospitals: Valley Medical Center reported a 13% reduction in arrival‑to‑discharge time and O'Connor Hospital a 20% reduction since January; RMC's ED wait time showed nearly a 49% decline in a recent comparison of March to May.

Executives also said interfacility transfers within the health system have increased by about 50%, helping manage patient flow. While the county expects the facility to remain a safety‑net operation that will not generate net profit, higher census helps spread fixed costs and improve financial position compared with prior operations.

Capacity and services: Committee members discussed bed counts and service rollouts. Presenters said two ICU wings have been opened (initially a 12‑bed wing expanded to 24) and plans are under way to open an additional wing; labor and delivery staffing and readiness were described as a goal for opening later in the year, with a target of having labor and delivery operational by the end of the calendar year.

Committee action: The committee voted to receive the report. County staff said they will provide mid‑year updates when more financial and revenue data becomes available as receivables are processed.","Santa Clara Valley Health reported increased patient volumes at the recently acquired Regional Medical Center, higher admissions and emergency department throughput improvements across the county health system; county officials said operational trends are favorable though safety‑net hospitals still face reimbursement shortfalls.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6522969,"Veterans services reports early enrollments for Staff Sergeant Fox suicide‑prevention grant",737,2443000,3180000,"/Search/View?dp=1&key=5066461-2dd0cc21d00064e87f5f1ba1313d01e9&start=2443&end=3180","https://assets.pipeline.soar.com/5066461-2dd0cc21d00064e87f5f1ba1313d01e9/thumbnail_2443000.jpg","/articles/6522969/Santa-Clara-County/California/Veterans-services-reports-early-enrollments-for-Staff-Sergeant-Fox-suicideprevention-grant","https://secure.pipeline.soar.com/6522969-b2ae29b7f96c95d6d960af2b422ed2c4/orig.mp4?Expires=1773578936&Signature=Bu0OJo1KGthhO51A~7aeqg0CXRuO0C5i~gWclc9VMw93VmhGDEqFU85D739LUYKtLOHBcAHgmwpD31T0-STXw28yKqKAXypI7iIV3eg8XR48HhARCLYCN2DLOIFAOT5-Ep7fQScYMQxX7Ocdb2WZF1H5D3bpIjWCgqqh0f1ThOW8EHJDIsS7ny-rTojxEkJXJwvS-2TD-1YiY~FoaK6nlXanucB46b4bLhNY~4AG5tJzPd0v8EZfjGPe3obS3vND~HFmwtQJJt092NoXCSiBIgyuPAUxHMCbUuV0LwdKGP-g9ald8UyLxF-KuGaphZ1h1gRRNpcU8-K8z5r5qpY19w__&Key-Pair-Id=KUT5TJCACFTXG","The Santa Clara County Veterans Services Office reported progress implementing the federal Staff Sergeant Parker Gordon Fox suicide prevention grant, telling the Health and Hospital Committee that initial assessments and outreach have begun and that staff are working to scale enrollment.

\"This grant empowers local agencies like ours to connect veterans in crisis to essential mental health services, stabilize their lives, and ultimately prevent further tragedies,\" Darlene Escalante, director of the Veterans Services Office, told the committee, describing the grant's purpose and local implementation plans.

Escalante said the Veterans Services Office has completed 402 assessments under an existing MHSA/Prop 63‑funded program, with 162 entering case management. Using that caseload as a starting point, the Fox grant will expand targeted services. Screenings under the Fox grant began June 2; staff reported 16 veterans screened and 5 enrolled in the first two weeks, exceeding an initial short‑term target of 10 screenings and 5 enrollments.

Staffing and targets: The office said an extra‑help social worker began May 27; a second social worker's start was delayed by background checks to a target of July 7. The Fox grant's program target is 100 enrolled veterans; month‑by‑month targets presented to the committee aim for 20 screenings and 15 enrollments by July, increasing to 40 monthly screenings and 60 enrolled by Sept. 30.

Emergency supports and funding limits: Presenters described emergency supports for housing, food, employment and medical needs. County staff said the third‑party payment pool for such critical needs is about $165,000. Some spending caps were cited: childcare is capped at $5,000 per veteran per fiscal year and employment services at $750 per veteran per fiscal year; other emergency supports have no per‑veteran cap so long as grant funds remain available.

Committee action: The committee voted to receive the report. County staff said they will return with outcome data and further enrollment figures as the program scales and if extensions or renewals of federal funding are approved.","Santa Clara County Veterans Services reported initial screening and enrollment activity under the federal Staff Sergeant Parker Gordon Fox suicide prevention grant, with outreach and staffing ramping up and an initial goal of 100 enrolled veterans noted.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6522973,"County officials warn Senate reconciliation changes could sharply cut Medicaid funding and hit Santa Clara health services",1704,705000,2409000,"/Search/View?dp=1&key=5066461-2dd0cc21d00064e87f5f1ba1313d01e9&start=705&end=2409","https://assets.pipeline.soar.com/5066461-2dd0cc21d00064e87f5f1ba1313d01e9/thumbnail_705000.jpg","/articles/6522973/Santa-Clara-County/California/County-officials-warn-Senate-reconciliation-changes-could-sharply-cut-Medicaid-funding-and-hit-Santa-Clara-health-services","https://secure.pipeline.soar.com/6522973-5da5a71dde3196408d6b8a427836781f/orig.mp4?Expires=1773578936&Signature=eo-1LV1ydWeK7R~wxaEOJAN4G-Xmfz7E1FwYLyhotTk6lh6T5QXi5YTXw6vP3nIT99kMut-XZRFnhaHikg4hFSXzTUw8XPAm59hG~lUfCjsxzUVI~~OsnJyRyUgl2N7-LRyTJxh0a8CKQwtbmQkuI9oPDCCy8eQeiJWMccopGAhuwp5asQQwdKVWiSBuUDm~x8tXJIlWwPpalvqayvcvcWihwLftnrTOZrEuDp9J7T-lK0~PdBMF7shZwQwEC68H7cpemGjBeZHQ32ZUjpAVzGkqie3zvR-hHSs6FXxAfourbg9mn1Z~AWwQVq-dqj9ifQ5wSNMKGEzIwk4Iu089tg__&Key-Pair-Id=KUT5TJCACFTXG","County officials and outside budget advisers told the Santa Clara County Health and Hospital Committee that recent Senate Finance Committee changes to the congressional budget reconciliation package could substantially reduce federal Medicaid funding available to the county and its public hospital system.

\"On May 22, the House passed its version of budget reconciliation by a vote of 215 to 214,\" said Bert Magone of the Magone Group, summarizing the federal picture for the committee. \"That bill included roughly $800,000,000,000 in Medicaid cuts over a 10‑year period. The Senate Finance Committee's version appears to add roughly another $200,000,000,000, bringing the total toward a trillion dollars in cuts over 10 years.\"

Magone and Santa Clara Valley Health leaders told the committee the Senate plan would change two financing tools the county relies on: the provider tax and state‑directed payments. \"The Senate Finance Committee is squeezing down the amount of provider tax that could be collected starting in 2027,\" Magone said, and its draft would roll back state‑directed managed‑care payments by roughly 10% per year until they return to an earlier, lower cap.

Why it matters: Santa Clara County and its hospital system use provider taxes and state‑directed payments to support services for Medi‑Cal and other vulnerable patients. Committee members and county health executives said the difference between the House and Senate proposals — and whether measures survive parliamentarian review in the Senate — could change the county's Medicaid revenue outlook by hundreds of millions or, cumulatively, more than $1 billion.

\"We are looking at hundreds of millions of dollars in ongoing revenue impacts to our county health system,\" said James Williams, speaking for Santa Clara Valley Health. \"When you stack federal proposals, state changes, disenrollment and work‑rule proposals together, we are looking in the range of a billion or more.\"

Magone and Williams outlined other federal‑level dynamics that could alter outcomes, including a possible rural hospital stabilization fund under discussion in the Senate and the Byrd rule review by the Senate parliamentarian. They also described the reconciliation process timeline: the Senate may try to move quickly, but negotiations with Republican senators and parliamentarian rulings could change or strike provisions.

Local impact and timing: Committee staff provided county figures used by presenters: roughly $1.9 billion in Medicaid funding for the current year, with a baseline estimate of about $2.3–$2.4 billion for the upcoming year. Committee members were told the specific fiscal impacts would play out in stages — through legislation, regulation and state implementation — and could affect the county budget over months to years rather than immediately on Oct. 1.

Committee action: The committee voted to receive the report from staff and presenters.

The county said it will continue to monitor the reconciliation process and keep the Board updated as congressional action and any subsequent state rulemaking clarify actual fiscal effects.","Federal budget reconciliation negotiations in the House and Senate include proposed Medicaid financing changes — notably cuts to provider taxes and state-directed payments — that county health leaders say could mean hundreds of millions to more than $1 billion in lost revenue for Santa Clara Valley Health.","actionData","errors"]

Article not found

EMS report: offload times drop, nurse‑navigator pilot limited so far; RFP work constrained by state timelines

County-run Regional Medical Center sees rising census, eases wait times across system

Veterans services reports early enrollments for Staff Sergeant Fox suicide‑prevention grant

County officials warn Senate reconciliation changes could sharply cut Medicaid funding and hit Santa Clara health services