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County outlines $60 million EPIC rollout to unify health records; supervisors press for interoperability and billing readiness
Summary
Alameda County presented an update on its countywide EPIC electronic health record project, describing a $60 million budget, a governance structure and a planned fall 2027 go‑live; supervisors sought assurance EPIC will interoperate with Alameda Health System, clinics and support CalAIM billing to recoup Medi‑Cal revenue.
Alameda County health leadership told the committee that the EPIC electronic health record (EHR) project will replace multiple disconnected systems across Alameda County Health and the Alameda County Sheriff’s Office to provide a single, integrated clinical record.
Tom McMillan, interim information‑systems director, described the benefits: real‑time access to comprehensive patient information across custody and community settings, improved care coordination, stronger revenue‑cycle tools and data analytics. McMillan said the project budget is approximately $60,000,000 and staff plan vendor implementation work in 2026 with a targeted fall 2027 go‑live.
Staff laid out a multi‑level governance model — a steering committee, an advisory group, a PMO and domain workstreams — to oversee scope, budget and configuration decisions. McMillan said Epic will also bring domain expertise and the project will include third‑party clinical applications as needed.
Supervisors asked whether the county instance of EPIC will interoperate with Alameda Health System and community clinics. Staff said many local providers already use EPIC and that Epic‑to‑Epic native sharing will make record flow easier; they also said they are working with Alameda Health System leadership to ensure integration. Committee members emphasized the need to ensure community partners that receive people on release can access records to support continuity of care.
The committee discussed revenue opportunities tied to CalAIM, which will allow the county to bill Medi‑Cal for certain services beginning July 1. Staff said EPIC’s revenue‑cycle tools are being configured to capture those billable services so the county can recoup costs where eligible.
No formal action was taken. Staff said implementation, staffing and governance steps are underway and the Board will receive periodic updates and budget letters as the work proceeds.
