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Board backs Epic MOSAIC Phase 2 to unify county health records despite timing concerns
Summary
San Mateo County approved expansion of the Epic electronic health record into specialty and community divisions (Phase 2/MOSAIC), authorizing staff conversions and temporary contractor capacity. Health leaders said completing the platform will reduce long‑term costs and improve care coordination; supervisors pressed for fiscal detail given state and federal funding uncertainty.
San Mateo County supervisors voted Jan. 27 to advance Phase 2 of Epic MOSAIC, an expansion of the county’s electronic health‑record system into behavioral health, aging and disability services, family health services and other county health programs.
County Health Director Colleen Chawla and CIO Rich Bailey told the board that Phase 1 delivered measurable operational gains — a 25% increase in cash flow from improved revenue processes and substantially shorter pharmacy wait times — and that completing MOSAIC would unify clinical records so care teams across settings can work from a…
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