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From YouTube: County of Santa Clara Public Health: Enhanced Testing Accountability Order - September 21, 2020
Description
County Counsel James Williams and Public Information Officer David Campos discuss the Enhanced Testing Accountability Order. This new order enhances testing access by expanding the number of Essential Workers entitled to testing, makes sure access to testing is easy and quick, and ensures that healthcare providers inform their patients about how to access testing.
Recorded September 21, 2020.
The City of Cupertino would like to express its thanks to the County of Santa Clara for the use of their video materials during the COVID-19 pandemic.
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://www.cupertino.org/coronavirus.
B
Good
morning,
everyone,
my
name,
is
david
campos.
Welcome
to
facebook
live
with
the
county
of
santa
clara.
I
am
here
with
james
williams,
who
is
our
county
council
before
we
begin.
I
just
want
to
note
that
we
are
taking
off
our
face
coverings
so
that
we
can
allow
the
asl
interpreters
to
properly
interpret
the
content
of
the
program
for
our
hearing
impaired
viewers
as
a
best
practice
they're
not
able
to
do
that
translation
that
interpretation
without
us
actually
taking
off
our
face
coverings.
B
I
also
want
to
note
that
at
the
bottom
of
the
screen
throughout
the
the
program
today,
you
will
see
the
numbers,
the
latest
numbers
in
terms
of
covey
cases
for
the
county
of
santa
clara.
So
again,
david
campos,
here
I
am
very
honored
to
welcome
james
williams,
who
is
the
county
council
and
one
of
the
directors
of
the
emergency
operations
center.
Welcome!
Welcome
back
to
the
show
james!
Thank
you.
B
C
C
Those
are
all
categories
of
folks,
where
it's
vital
that
there
be
testing
to
catch
cases
to
help
support
the
isolation
of
those
cases
and
quarantine
of
individuals,
who've
come
into
contact
with
them
and
that's
how
we
break
the
chains
of
transmission
and
keep
covid
as
contained
as
possible.
The
other
important
thing
about
testing
is
without
regular,
frequent,
accessible,
timely
testing.
C
But
here
in
santa
clara
county,
there
have
been
extraordinary
investments
in
testing
extraordinary
push
to
provide
and
expand
testing
the
county
itself
through
its
own
health
system,
has
stepped
up
and
done
a
tremendous
amount
of
testing
free,
accessible
testing
throughout
the
community,
but
part
of
that
part
of
actually
being
able
to
get
to
the
level
of
testing
that
we
need
is
that
we
also
need
to
have
all
of
our
health
care
systems.
Do
their
part
too,
just
like
for
any
other
illness
just
like
for
any
other
condition.
C
We
go
to
our
normal
primary
care
provider.
We
go
to
our
normal
doctors,
our
normal
clinics,
to
get
treatment
to
get
tested.
That
is
equally
true,
just
as
true
for
covid19
and
so
back
in
june.
Actually,
the
county
health
officer
issued
the
first
order
related
to
testing
requiring
that
large
healthcare
systems
step
up
and
provide
testing
for
priority
categories,
and
what
was
announced
last
week
was
really
a
an
enhancement
of
that
order,
which
goes
into
effect
this
friday.
Now.
B
James,
I
remember
before
the
june
order
was
issued
that-
and
I
remember
having
conversations
with
folks
about
hoping
that
there
was
no
need
to
issue
the
order.
So
can
you
talk
a
little
bit
about
that
so
that
people
understand
that
it
wasn't
like
you
just
issued
the
order
that
you
actually
tried
to
figure
out
a
way
of
getting
these
providers
to
do
testing
without
an
order,
and
likewise
why
a
second
order?
You
know
so,
what's
going
on
here,
yeah.
C
That's
is
exactly
right.
Right
from
the
beginning,
there
have
been
conversations
to
provide
assistance,
to
provide
support,
to
help
with
supply
chains
to
help
with
providing
recommendations,
and
the
public
health
department
from
the
beginning
has
been
pushing
out
guidance
on
testing
and
priority
categories
for
testing
and
urging
testing,
and
also
providing
a
lot
of
support
and
resources
to
promote
testing
by
large
healthcare
systems.
B
B
C
A
little
bit
about
that
yeah,
that's
exactly
right.
The
county,
you
know,
operates
valley,
medical
center
and
its
clinics
county
has
its
own
large
health
system
and
faces
the
same
kinds
of
challenges.
It
is
hard.
We
have
had
challenges
nationwide
in
having
access
to
reagents
to
supplies
that
are
needed.
C
Turnaround
times
have
been
challenging,
but
these
are
all
obstacles
that
through
diligence
and
hard
work
and
dedication
from
from
our
staff
at
the
county,
we've
been
able
to
overcome
we've
been
able
to
build
in
redundancy
and
we've
been
able
to
provide
accessible
testing
to
the
community.
I
think
the
most
significant
recent
example
is
stepping
up
the
fairground
site,
where
we
now
can
provide
1500
tests
on
a
drive-through
basis
throughout
the
week
daily.
B
During
that
week,
kaiser
permanente
conducted
4261
tests,
stanford
3243
sutter,
1426,
el
camino,
679,
8c8
healthcare
633.,
again
the
highest
number,
four
thousand.
In
that
same
period,
the
county
conducted
thirteen
thousand.
So
you
can
see
the
difference
and
it's
not
like
the
county
doesn't
have
the
same
challenges.
C
That's
exactly
right
and
we
actually
have
you
know.
We
have
all
this
information
on
one
of
the
dashboards
on
our
website.
You
can
go
and
monitor
the
progress
yourself.
You
can
look
at
the
rates
based
also
on
the
patient
population,
served
to
get
a
sense
of
what's
the
magnitude
versus
how
many
patients
that
system
normally
takes
care
of
for
healthcare
needs,
and
it
shows
the
disparity
is
quite
stark
and
significant.
Now.
B
C
So
the
recent
order
was
issued
to
really
provide
some
more
to
enhance
the
the
june
order
in
in
order
to
better
achieve
the
goals.
One
of
those
requirements
is
a
requirement
that
these
systems
provide
affirmative
notice
to
patients.
That
means
you'll
see
once
the
order
goes
into
effect.
You'll
see,
notices
in
patient
waiting
areas,
you'll
see
notices
on
websites,
you'll,
see
notices
in
communications
and
materials
related
to
covet
19..
C
C
That
suggested
that
if
you
did
not
have
symptoms
and
you
were
close
contact,
you
did
not
need
to
be
tested.
That
was
wrong.
The
cdc
has
now
put
out
revised
guidance,
but
our
local
health
officials
have
been
very
consistent
if
you're
a
close
contact.
You
do
need
to
get
tested,
regardless
of
whether
you
have
symptoms
third
category.
C
Anybody
referred
for
testing
by
the
public
health
department,
especially
through
the
contact
tracing
process
and
then
the
fourth
category.
This
is
a
really
important
one
for
the
broader
public,
anyone
who's
an
essential
worker.
So
what
does
that
mean
an
essential
worker?
We
have
actually
now
aligned
with
the
exact
same
definition
from
the
state
for
the
mandate.
The
state
is
placing
on
insurers
for
covet
19
testing
coverage
and
that
definition
of
essential
workers
is
quite
broad,
includes
teachers,
grocery
store
clerks,
agricultural
workers,
obviously
first
responders
and
health
care
workers.
B
C
So
the
the
enhanced
order
includes
requirements
that
the
health
care
systems
make
testing
easy
and
accessible
that
they
remove
impediments
to
that
testing
like
complicated
phone
trees
or
requiring
appointments
with
doctors,
if
you're
not
symptomatic
or
and
requires
that
the
testing
be
provided
timely
so
for,
if
you're
symptomatic
or
close
contact
or
referred
for
testing
specifically
by
the
public
health
department.
That
means
within
the
next
business
day,
if
you
call
or
electronically
schedule,
if
you're
an
essential
worker,
doing
routine
surveillance
testing
on
the
periodic
basis.
C
That
means
within
three
business
days
and
then
also
a
requirement
that
results
be
timely.
We
know
that
that's
been
a
challenge
as
well,
and
so
the
the
order
requires
that
health
care
systems
provide
results
within
three
business
days
or,
if
there's
some
reason
they
can't.
They
need
to
affirmatively
tell
the
county
what
they're
going
to
do
to
resolve
that
backlog,
because
we
know
that
a
backlog
and
getting
testing
results
really
has
a
negative
impact
on
getting
people
quickly.
B
C
So
if,
if
you're
having
a
problem
getting
tested
first,
you
should
remind
your
provider
of
these
rights
through
the
patient
notice.
But
if
you
have
a
any
violations
that
you
believe
are
occurring,
we
have
a
website
with
a
dedicated
complaint
portal
and
a
phone
number.
I
think
those
are
being
displayed
on
the
screen,
but
the
website
is
sccovidconcerns.org,
that's
sccovidconcerns.org
and
you
can
go
there.
You
can
actually
use
the
same
portal
to
file
complaints
about
about
the
other
health
orders
too,
but
it
specifically
includes
this
testing
order.
C
You
know.
School
opening
presents
a
lot
of
volume,
a
lot
of
volume
of
interaction,
and
so
it's
very
important
that
we
have
robust
testing
infrastructure,
and
so
the
testing
order
does
include
teachers
and
other
school
staff
and
school
workers
as
essential
workers
who
can
get
tested
through
their
health
care
providers,
and
that's
going
to
be
really
important
in
helping
ensure
that
we
are
keeping
on
top
of
things
as
schools
now
open
up.
C
You
know
we
want
to
stay
in
the
red,
tier
and,
in
fact,
actually
related
to
testing.
One
of
the
only
reasons
we
entered
the
red
tier
is
because
the
state,
through
this
new
system
gives
an
adjustment
based
on
the
volume
of
testing
that's
occurring
and
because
our
county
is
one
that
tests
above
the
state
average.
C
B
C
Well,
some
have
you
know
heard
me
say
before
you
know:
these
health
orders
are
mandatory.
They,
they
are
the
law,
and
we
take
that
very
seriously,
and
so,
if
there
are
violations
do
report
them
scc-covetedconcerns.org,
we
will
investigate
them.
This
order
is
covered
under
the
civil
enforcement
structure
that
the
county
adopted
in
early
august.
That
means
that
providers
that
violate
the
order
are
subject
to
fines
and
are
potentially
subject
to
other
remedies
as
well,
and
that's
something
that
we
are
keeping
a
very,
very
close
eye
on.
C
You
know
our
expectation
just
like
it
is
for
all
the
businesses
in
our
community
and
all
of
our
individuals
and
families
who
have
been
doing
such
a
great
job
for
so
many
months
now
in
closely
following
these
state
and
local
public
health
orders.
Our
expectation
is
that
these
large
health
care
systems
do
exactly
that
as
well,
but
we
are
prepared
to
take
enforcement
action
if
we
need
to.
B
Now
I
I
remember
when
the
issue
of
testing
was
something
that
we
were
focused
on,
even
more
so
because
we're
trying
to
ramp
up
our
testing
that
it
came
down
to
investment
right.
It
takes
a
lot
of
money
being
invested
to
be
able
to
overcome
some
of
these
hurdles.
So
this
is
just
me
talking.
It
seems
to
me
that
if
these
private
hospitals
are
willing
to
put
in
the
money
to
actually
have
the
level
of
testing
that
is
needed,
that
they
can
actually
do
it.
The
way
the
county
has.
C
C
C
B
D
B
Those
of
you
that
are
watching
please
make
sure
that
you
continue
to
monitor
a
website
different
dashboards
and
make
sure
that
you
understand
your
rights
under
this
new
order
and
that
you
exercise
those
rights
and
report
any
violation
to
everyone
out
there.
Please
have
a
wonderful
day,
stay
safe,
be
careful
and
stay
tuned.
B
We
will
be
having
actually
an
on
the
field
event
coming
up
on
wednesday.
We
will
be
in
east
san
jose
talking
about
the
efforts
to
do
outreach
to
one
of
the
hardest
hits
community
hardest
hit
communities
with
respect
to
covet
so
stay
tuned
and,
of
course,
we
have
other
facebook
lives
that
will
be
taking
place
in
spanish
and
vietnamese
later
this
week.
Thank
you
very
much.
Enjoy
your.