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From YouTube: County of Santa Clara Public Health: Public Hospital Response to COVID-19 - April 8, 2020
Description
Deputy County Executive David Campos is joined by CEO of the Santa Clara Valley Medical Center Paul Lorenz and O'Connor Hospital Executive Meenesh Bhimani, M.D. at they discuss the response of Santa Clara County hospitals and clinics to the COVID-19 pandemic.
Recorded April 8, 2020.
The City of Cupertino would like to express 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
C
Good
morning
my
name
is
David:
Campos
I'm,
a
deputy
county
executive,
and
we
are
here,
live
with
the
County
of
Santa
Clara.
We
are
at
the
administrative
building
at
the
Valley
Medical
Center
campus,
and
we
have
this
morning
two
incredible
individuals
who
are
actually
on
the
ground
running
our
hospitals.
It
is
my
honor
to
introduce
to
you
Paul
Lawrence,
who
is
the
CEO
of
the
Santa
Clara
Valley
Medical
Center,
dr.
C
D
Thank
you
David
and
good
morning,
everyone.
So
again,
my
name
is
Paul
Aaron's
I'm,
the
chief
executive
officer
for
the
county's
hospitals
and
clinics,
and
for
most
of
you
that
probably
do
not
know
this.
The
County
of
Santa
Clara
operates
a
pretty
large
and
integrated
healthcare
system.
It
is
the
second
largest
in
the
state
of
California.
We
have
approximately
8,500
employees.
We
have
three
hospitals
now
and
most
of
you
have
probably
heard
in
the
news
that
we
acquired
O'connor
Hospital
and
st.
D
Louis
Regional
Hospital,
so
we
really
have
become
a
geographic,
integrated
healthcare
system
and
in
that
I
think
it's
also
important
for
the
public
to
understand
that
Valley
Medical
Center
has
been
around
for
150
years,
O'connor
Hospital,
probably
for
about
the
same
period
of
time
over
150
years.
So
these
institutions,
if
you
will,
will
healthcare
institutions,
are
truly
here
to
serve
the
entire
community.
D
Also,
to
give
you
some
perspective-
and
this
is
really
important
when
we
talk
about
integrated
healthcare
system-
we're
not
just
talking
about
the
hospital's,
we're
also
talking
about
outpatient
service,
primary
care,
specialty
care.
These
services
are
available
to
the
entire
community,
and
that's
something
that
we
take
very
great
pride
in.
We
are
at
Valley,
Medical,
Center,
a
level
1
trauma
center
for
both
pediatrics
and
adults.
We
actually
have
a
regional
burn
center
that
serves
the
entire
Bay
Area
and,
of
course,
we
have
a
nationally
recognized
rehabilitation
center.
D
So
this
truly
is
once
again
a
comprehensive
healthcare
system
that
I
think
we
should
all
be
proud
of
again
because
it
serves
in
the
entire
community,
and
it
is
really
the
public's
health
care
system.
Your
health
care
system,
I
I,
do
want
to
just
remind
the
group
also
that
it
was
probably
less
than
13
months
ago,
that
we
acquired
st.
Louis,
Regional,
Hospital
and,
of
course,
o'connor
hospitals.
Those
are
truly
assets
of
the
community.
D
They
serve
those
communities
in
terms
of
providing
basic
health
care
services
from
emergency
room
services,
all
the
way
through
to
acute
care,
hospitals,
services,
as
well
as
some
other
critical
outpatient
services,
such
as
wound
care,
etc.
The
other
thing
that
I
would
add
when
we
acquired
those
two
hospitals,
I,
think
everyone
understood
the
geographic
importance
of
those
two
hospitals
relative
to
serve
in
the
entire
county.
What
was
also
important
and
I
think
the
public
may
not
know
is
collectively
inclusive
of
st.
Louis
in
O'connor
Hospital.
D
We
probably
have,
during
the
normal
times
about
600
plus
emergency
room
visits,
so
these
are
hospitals
that
truly
are
there
to
serve
the
community,
not
only
in
terms
of
emergency
healthcare
services
but
ongoing
acute
care
services
to
today
of
obviously
I'm
joined
by
dr.
Manish
bomani
he's
been
with
o'connor
hospital
for
quite
some
time
as
an
ER
physician,
I'm
very
pleased
and
proud
that
we
have
someone
at
the
helm
of
o'connor
hospital.
D
The
integration
that
has
occurred
over
this
past
13
months
has
gone
extremely
well
as
a
public
hospital
system
acquiring
two
community
hospitals
is
quite
the
undertaking
and
what
really
made
the
difference
were
the
people
within
those
two
hospitals,
the
staff,
the
nurses,
the
housekeeper's,
that
really
bought
into
the
importance
of
working
together
to
better
serve
our
community.
So
I'd
like
to
actually
ask
dr.
D
E
Ramani,
so,
as
you
know,
we,
the
integration
and
acquisition
was
as
of
March
1st,
of
2019
and
in
the
initial
phases
of
the
of
the
integration
efforts.
We,
it
was
a
tremendous
effort
made
to
start
to
revitalize
both
upon
our
Hospital
in
st.
Louis
Regional
Hospital,
and
this
was
everything
from
staff
stabilization
to
facilities,
upgrades
to
modernized,
equipment
to
physician
outreach
and
a
tremendous
amount
of
effort
was
made
to
really
bring
back
Ohana
Hospital
to
the
point
where
we
could
serve
the
entire
Santa
Clara
County
community.
E
The
biggest
one
of
the
biggest
changes
that
that
went
and
occurred
last
year
was
the
go-live
of
a
new
electronic
medical
health
record
called
epic
or
health
link,
and
this
went
live
in
August,
which
was
you
know,
roughly
five
months
after
the
integration
and
this
this
one
powerful
tool
allows
us
to
communicate
not
only
with
the
entire
system
but
with
the
county
and
outlying
hospitals
as
well.
So
it's
really
all
these
efforts
have
truly
now
made
us
an
integrated
health
delivery
system
in
which
we
can
outreach
to
the
entire
community.
E
What
what
that's
also
done
is
prepared
us
for
a
time
like
this.
A
disaster
and
a
crisis
that
we've
come
upon
now
and
it's
allowed
us
to
respond
not
as
a
hospital
but
as
a
healthcare,
integrated
healthcare
system
and
we've
been
able
to
respond
to
the
needs
of
the
County
and
our
community
as
a
whole,
as
opposed
to
a
single
hospital.
Can.
C
You
know
you
know,
I,
think,
that's
sort
of
the
question
for
many
folks
is:
are
the
hospital's
ready
and
given
what
you
have
gone
through
in
terms
of
this
integration
and
the
incredible
system
that
you
have
created?
Can
you
talk
about
that?
What
what
do
you
want
people
to
know
in
terms
of
how
prepared
and
ready
our
hospitals
are
for
this
crisis?
That's.
D
D
Dr.
Cody,
has
really
made
a
huge
difference.
So
let
me
give
you
some
sense
of
what
we
have
been
doing
locally,
a
relative
to
our
three
hospitals
in
the
entire
enterprise
system.
Our
first
priority
was
to
make
sure
that
our
patient
and
her
staff
were
attended
to
that
they
understood
what
we
were
heading
into
and
that
we
were
taking
the
appropriate
measures
to
protect
them.
So,
first
of
all
for
our
patients,
we
did
counsel
elective
surgical
cases.
D
The
other
thing
that
has
occurred
is
that
the
emergency
room,
if
you
recall
there,
were
a
lot
of
public
notices
about
making
sure
you
as
individuals,
if
you
were
having
symptoms,
influenza-like
symptoms
that
you
first
called
your
healthcare
provider
and
received
directions
of
where
to
go,
to
get
the
care
that
you
need
it
and
not
come
to
our
emergency
rooms.
That
has
made
a
huge
difference
and
I
really
want
to
thank
the
public
for
understanding
the
importance
of
that.
D
I
can
tell
you
today
the
three
hospitals
we
are
down
to
maybe
33%
of
a
typical
volume
in
our
emergency
rooms.
So
at
the
height
Ed
mentioned,
we
typically
would
see
you
around
600
individuals
or
visit
650
plus
visits
in
our
emergency
rooms,
we're
down
to
about
150
to
200
visits
to
our
emergency
room.
Those
individuals
that
are
presenting
to
our
emergency
room
are
acutely
ill
23
to
27
percent
of
those
patients
present
with
influenza,
like
illness
and
of
those
individuals
only
about
10
to
15
percent
test
positive
for
kovat.
D
So
we
really
have
on
the
front
end
of
a
health
care
system
been
able
to
get
us
to
a
point.
In
which
we
can
be
prepared
for
any
surge
that
may
come
upon
us
in
this
county,
the
other
thing
that
I
think
a
lot
of
people
are
interested
in
knowing
is
what
is
their
bed
capacity
as
a
health
care
system.
So,
prior
to
this,
this
issue
that
we're
dealing
with
this
emergency
we're
dealing
with.
We
would
typically
staff
all
three
hospitals
to
the
tune
of
around
580
beds.
D
Today
we
are
about
50%
of
that,
and
so
we
have
50%
of
our
beds
available
that
are
typically
staffed
of
that
only
about
to
give
and
take
in
terms
of
which
day
we're
speaking
of
we're
only
averaging
around
10
to
12
percent
of
those
patients
being
kovat
positive.
So
we
are
serving
the
community
even
during
this
crisis,
in
terms
of
their
normal
healthcare
needs,
which
is
really
important
when
85
percent
of
our
patient
population
in
the
hospitals
are
acutely
ill
that
are
non
kovat.
D
We
have
to
remember
that
we
have
much
greater
needs
in
this
community.
Why
were
really
laser
focused
on
a
preparedness
around
Kovan
ICU
bed
capacity?
We're
only
at
20.
Excuse
me
70
80
percent
of
our
bed
capacity.
So
we
still
have
around
20
to
30%
of
our
ICU
bed
capacity
available.
The
other
thing
that
this
pub
of
the
public
should
appreciate
is
that
we
have
the
ability,
given
the
acquisition
of
O'connor
in
st.
Louise
Hospital,
to
increase
our
surge
capacity
by
another
340
beds,
200
of
which
would
be
ICU
capable
and
ready
inclusive
of
ventilators.
D
So
I
really
want
to
express
as
a
public
that,
this
time
that
the
public
health
officer
has
given
your
public
healthcare
system
has
been
invaluable
and
with
that,
we've
been
able
to
focus
on
making
sure
the
staff
are
ready
and
prepared,
including
making
sure
that
we
obtain
the
appropriate
PPE
equipment
and
supplies
necessary
for
any
demand
or
surge
on
our
system.
But
I'd
also
like
to
have
dr.
bomani
talk
about
what
he's
experienced
and
what
he
can
provide
in
terms
of
the
front
lines
and.
C
E
E
You
know
patient
physician,
you
know
it
making
maintaining
our
supplies
of
PPE
so
that
every
staff
member
has
the
appropriate
PPE
at
the
appropriate
time.
We've,
you
know
limited
our
visitors.
You
know
we
have
a
restrictive
visitor
policy
and
all
these
efforts
are
really
aimed
at
maintaining
the
safety
of
our
staff,
as
well
as
our
patients
and
allowing
us
to
provide
the
care
that
we
can
we've
also
developed
kind
of
specialized
covin
units.
So
these
are
hospital
based
units
along.
E
You
know:
different
levels
of
care,
ICU
and
non
ICU,
and
we've
developed
teams
that
are
truly
experts
in
caring
for
this
patient
population.
We
also
have
a
COBIT
response
team,
so
any
any
needs
that
come
up
in
the
hospital
around
Kovac
patients.
We
have
a
specialized
team
that
can
respond
to
those
needs
instantaneously
24/7.
So
all
of
this
has
really
allowed
us
to
create
an
environment.
Where
we're
you
know,
our
staff
safety
is
paramount
and
we're
allowed.
You
know
we're
able
to
provide
the
best
care
that
we
can
to
our
patients
and
their
families.
We're.
D
They
are
truly
the
heroes
and
if
I
was
telling
my
staff
the
other
day,
if
I
can
bottle
up
what's
going
on
in
our
hospitals
as
we
care
for
these
patients,
I
know
that
the
public
would
be
very,
very
proud
of
how
we're
caring
for
our
community
in
our
page,
it's
a
really
a
deep
appreciation
to
our
staff
and
then
I
want
to
acknowledge
our
board
supervisors.
Our
County
Board
of
Supervisors,
the
county
executive
office
in
the
Emergency
Operations
Center,
has
done
a
phenomenal
job
in
supporting
this
health
care
system
and
then
to
the
public.
D
E
E
The
amount
of
you
know
well
wishes
and
you
know
donations
and
has
been
tremendous
and
it
just
it's
a
testament
to
how
much
I
think
the
that
the
the
hospital
system
means
to
this
this
community
and-
and
you
know
well
I-
think
that
that
outreach
that
we've
received
has
been
really
uplifting
to
our
entire
staff.
So
thank
you.