Board approves EPIC EHR staffing, appoints health director and adopts curb-marking fee schedule
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Summary
The board approved seven full-time positions for EPIC electronic health record implementation, confirmed Anika Choudhary as Alameda County Health director, and adopted a resolution confirming a fee schedule for curb markings and signs after a public hearing.
The Alameda County Board of Supervisors on April 7 approved several administrative and operational actions: staffing to support the countywide implementation of the EPIC electronic health record (EHR), the appointment of Anika Choudhary as Director of Alameda County Health, and adoption of a fee schedule for curb markings and signs.
Supervisor Marquez asked for a brief overview of item 19, which requested seven full-time equipment positions in county information systems to support EPIC implementation and ongoing maintenance. Anika Choudhary (AC Health) told the board that EPIC would improve care coordination across behavioral health, jail health and regional hospital partners (many of whom already use EPIC), as well as support revenue-cycle improvements. The board noted the action aligns with reentry and CARES/"Jails Last" initiatives. The staffing request was approved as part of the regular calendar vote.
Separately, the board voted to appoint Anika Choudhary as Director of Alameda County Health effective April 12, 2026, with the salary listed in the staff report. Choudhary thanked the board and said she looks forward to continuing implementation work.
During a public hearing on item 59, the Public Works director explained a proposed fee schedule for installing curb markings and signs designed to recover county costs when installations serve a private purpose. One public commenter raised concerns about inconsistent fee practices and a specific prior relocation of signage on a county border road; the director responded that policy guides fee application and that staff would enforce rules and collect fees where applicable. The board closed the hearing, found no adjustments stemming from the testimony, and adopted the resolution confirming the fee schedule by roll-call vote.
The board also approved minutes and the consent calendar, heard closed-session report-outs summarizing two settlements from earlier closed sessions, and carried forward several ordinance readings. Several items passed by unanimous roll-call votes.
Next steps: Implementation of EPIC staffing will proceed under the county information systems team with MOUs forthcoming; the Public Works Agency will finalize fee-collection procedures consistent with the adopted schedule.
