Health for All

Improve the health status of all clients, reduce the burden of illness and injury, and improve the customer experience.
Post-Custody Clients in Treatment Services
Clients seeking treatment for more than 30 days correlates to better mental health and substance use treatment outcomes for clients.
The Behavioral Health Services Department measures the number of post-custody clients engaged in treatment services for more than 30 days after being released from criminal justice custody.
Readmission Rate (Behavioral Health Services)
The Behavioral Health Services Department (BHSD) works on reducing the use of inpatient psychiatric hospital services for adult and older adult consumers diagnosed with mental health related conditions. The readmission rate measures the unplanned readmissions of clients who have been discharged from acute psychiatric hospitals within the past 30 days. BHSD has implemented a practice management solution to improve data captured at the Barbara Arons Pavilion and contracted hospitals to allow for more efficient intervention. Clients will receive care in the community that supports their wellness and recovery and minimizes the need for acute psychiatric hospitalization.
School Linked Services
The School Linked Services (SLS) Initiative is administered by the Behavioral Health Services Department (BHSD) in partnership with the 34 school districts, public agencies, and community-based organizations in Santa Clara County to streamline service coordination and family engagement opportunities among students and families. SLS Coordinators provide information on student referrals and successful linkages to resources.
BHSD measures these outcomes through the administration of the Caregiver Feedback Survey to all parents and caregivers who have received service coordination and/or referral through a SLS Coordinator.
Comprehensive, Integrated, and Targeted Healthcare Services in the Carceral Setting
The Adult Custody Health Services (ACHS) works to improve timely access to services for core populations to enable Better Health, Better Care and Better Services. ACHS tracks the number of appointments completed for regular consults and return to clinic consults, types of services provided, and workload of current staffing.
Comprehensive, Integrated, and Targeted Health Services Wait Time for Inmate Population
The Adult Custody Health Services (ACHS) tracks the wait time for regular consults and return to clinic consults, wait times to obtain health services, and types of services provided. Success is being measured through a series of reports on appointment, completions, timely access to services, and quality review of outcomes. Wait times are only calculated for new consults and not return to clinic consults, since return to clinic consults are dependent on provider discretion.
Readmission Rates in Custody Health Services for Higher Levels of Care Continuum
The rate of unplanned hospital readmissions is an important measure of clinical quality and can indicate likely shortcomings with chronic care, infection control, health information management and continuity of care, among other things.
Adult Custody Health Services (ACHS) seeks to reduce its 30-day readmission rates for adult population into the Main Jail Infirmary and Main Jail Acute Psychiatric Unit (APU). By providing robust chronic care, psychiatric treatment, and care-coordination while in the custody setting and ensuring that discharge procedures and continuity of care are followed to mitigate a readmission within 30-days of the initial admission.
STEMI Scene Time Reduction
The Emergency Medical Services Department reduces prehospital scene times by tracking and reviewing scene times. The Department will identify incidents with scene times over 15 minutes for ST -elevation myocardial infarction patients and then review the corresponding patient care records to look for reasonable explanations for delays. If none can be found, the Department will follow up with ambulance crew members and the program manager to better prevent future delays.
Stroke Scene Time Reduction
The Emergency Medical Services reduces prehospital scene times by tracking and reviewing scene times. The Department identifies incidents with scene times over 15 minutes for patients with stroke-like symptoms and then review the corresponding patient care records to look for reasonable explanations for delays. If none can be found, the Department follow up with ambulance crew members and the program manager to better prevent future delays.
Timely Submission of ePCRs for Time Sensitive Injuries
The Emergency Medical Services works to decrease the time elapsed between collected patient information on the 911 scene to the submission of patient care reports (PCR) to the transported hospital for time sensitive injures, such as Stroke, STEMI, or Trauma. Comparing the average of time interval from when a 911 ambulance crew arrived at the patient’s side and the time the chart was first posted to the database, to the average scene time of patients suffering from time sensitive injuries. This comparison will demonstrate an overall depiction of how well the system performs at delivering the most charts of the most critical patient types.
Trauma Scene Time Reduction
In order to discourage an increase in prehospital scene times, the Emergency Medical Services Department tracks and reviews trauma scene times.  This is accomplished by creating reports in Image Trend that display incidents with scene times over 15 minutes for major trauma victims.  The EMS Department will then review the corresponding Patient Care Records and look for reasonable explanations for delays.  If none can be found, then communication will occur with the crew members and the Program Manager, to educate and prevent future delays.  The goal is to lower average trauma scene time.
Respiratory Assessment for Pediatric Patients
The Emergency Medical Services Department will increase the number of pediatric patients receiving a documented respiratory assessment that had a primary or secondary impression of respiratory distress, originating from a 911 response.  The Department will identify incidents without a documented respiratory assessment and review the corresponding patient care records to look for reasonable explanations for missing assessment.  If none can be found, the Department will follow up with ambulance crew members and the program manager to increase the number of assessments.
Reduce Diabetes Prevalence in Santa Clara County
The Public Health Department works to reduce the prevalence of diabetes. The intended goal is to reduce the percentage of individuals with diabetes or at-risk for diabetes by increasing the percentage of individuals who receive recommended preventive care, including screening and access to diabetes prevention programs. The prevalence of diabetes is measured using data collected by the California Health Interview Survey.
Reduce the COVID-19 Mortality Rate in Santa Clara County
The Public Health Department works to reduce the COVID-19 mortality rate in Santa Clara County.  The Department works to prevent all deaths by focusing on efforts to reduce the spread of COVID-19 with efforts including vaccinations, disease surveillance, vigorous disease investigation and response, community outreach and education, collaborations with community partners, and protective measures.
The COVID-19 mortality rate is measured by data collected in the County of Santa Clara.  COVID-related deaths are defined as the death records where COVID is listed in one of the 4 causes of death fields and/or the other significant conditions field. Age adjusted rate of deaths with COVID-19 per 100,000 people are presented for trend comparisons.
Reduce the infant mortality rate in Santa Clara County
The Public Health Department works to reduce the infant mortality rate in Santa Clara County. Infant mortality is the death of an infant under the age of one and is an indicator of maternal and infant health as well as an important marker of the overall health of a society. The infant mortality rate is measured by data collected in the County of Santa Clara, Vital Records Business Intelligence System, California Comprehensive Birth File.
Reduce the number newly diagnosed HIV cases
The Public Health Department works to reduce the number of cases of HIV, which continues to impact the health and wellbeing of Santa Clara County residents. Measurement of new HIV diagnoses reflects not only fewer new cases but also access to testing for those at risk and adequate treatment of individuals living with HIV, thereby reducing their risk of transmission. Newly diagnosed cases will be measured using data collected from the California Enhanced HIV/AIDS Reporting System.
Increase Total Inpatient Days for Santa Clara Valley Health Care
System growth inpatient access and capacity is an important measure of the successful integration of VMC-O’Connor and VMC-Saint Louise within the Santa Clara Valley Health Care. Valley Medical Center tracks the average hospital daily census for total inpatient days. This is the ratio of the total number of inpatient days (Excluding newborn) to total number of days in the same period.
Reduce Non-acute Patient Census for Santa Clara Valley Health Care
Reducing non-acute days helps increase Santa Clara Valley Health Care's capacity for acute care patients, ensures that patients receive the appropriate level of care and achieve the level of independence as appropriate for their needs. This metric is an indicator of their success in providing the appropriate continuum of care and support services to the community, as well as the cost effectiveness of the care they provide. The efforts continue to reduce medical non-acute hospital days by working with community partners to identify and expand capacity and use these resources to find appropriate level of care placements outside the hospital. Average daily census data will be used to measure acute and non-acute patient volume to monitor success in achieving this goal.
Increase Access to Medi-Cal Program
The Department of Employment and Benefit Services (DEBS) focuses on increasing access to public benefits for individuals and families to have their basic needs to healthcare, food, and shelter met. DEBS measures the number of individuals enrolled in Medi-Cal, a public benefits program.
Breast Cancer Screening
Valley Health Plan (VHP) uses Healthcare Effectiveness Data and Information Set (HEDIS) to ensure that healthcare consumers have access to reliable information to better compare the clinical performance of health plans. The Breast Cancer Screening measure evaluates the number of individuals ages 50-74 who had a mammogram in the prior two years. Through HEDIS, VHP monitors the raw percentage score and national benchmark percentile for breast cancer screening compliance.
Pediatric Immunizations
Valley Health Plan (VHP) uses Healthcare Effectiveness Data and Information Set (HEDIS) to ensure that healthcare consumers have access to reliable information to better compare the clinical performance of health plans. Through HEDIS, VHP monitors the pediatric immunizations for children and adolescents in their commercial and Covered California Plans. Depending on the product line, requirements for immunizations compliance are measured differently (CIS3 for commercial and CIS10 for Covered California Plans). VHP monitors the raw percentage score and for compliance of pediatric immunizations of children and adolescents.
Senior Nutrition Program
Social Services Agency provides nutritious meals, opportunity to socialize, transportation, promote independence, support aging in place, delay adverse health outcomes, and be a conduit to community resources for older adults in Santa Clara County. SSA surveyed the program participants to gauge the quality of their services with the goal to increase socialization at the meal sites and provide holistic approach to health.