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November 6, 2018 — California General Election
Special District

Tri-City Healthcare DistrictCandidate for Board Member, Division 2

Photo of Laura Mitchell

Laura Mitchell

5,026 votes (26.7%)
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My Top 3 Priorities

  • Strengthen the continuum of care between the hospital and the community and keep up with current trends in healthcare to develop more outpatient services (e.g. same day surgeries).
  • Expand and innovate with outpatient behavioral health to provide consistent and compassionate care to those who need and their families.
  • Strengthen the District's relationships with the cities of Carlsbad, Oceanside, and Vista.



Profession:Registered Nurse
Infection Preventionist/Director of Staff Development, LifeCare Center of VIsta (2018–current)
Staff Nurse, La Paloma Health Center (2016–current)
Director, Tri-City Healthcare District — Elected position (2014–current)
Staff Nurse, Rancho Springs Medical Center (2014–2016)


CSU Dominguez Hills Bachelor of Science in Nursing (BSN), Nursing (1994)


I've been a Registered Nurse for almost 30 years, and I was a Licensed Vocational Nurse before that. I've been in nursing for almost forty years and I've seen a lot of changes in the way we care for people in that time.  I attended Palomar College in the first LVN to RN class. I've been a staff nurse for most of my career with experience as a department educator and adjunct faculty at Palomar College. I'm currently an Infection Preventionist and Director of Staff Development at a Skilled Nursing/Post-Acute facility in Vista.  I'm also a veteran (Army, 1977-1981). 

Who supports this candidate?

Organizations (2)

  • San Diego County Democratic Party
  • Evolve California

Political Beliefs

Political Philosophy

I'm not going to lie. I'm a fourth generation Democrat. But healthcare isn't about Democrat or Republican; liberal or conservative. It's about people. People who are sick, who are hurt, who are scared. Nurses ease the pain, manage the illness, and calm the fears. And we do everything in our power to achieve the best possible outcome for our patients and their families. As a Director for the Tri-City Healthcare District since 2014, the communities of Carlsbad, Oceanside, and Vista are my patients too. 

Position Papers

Laura Mitchell--Ballot Statement


Ballot Statement 2018 

I've been a Registered Nurse for almost 30 years and a Licensed Vocational Nurse for 7 years before that. I've been a clinical nurse and an nurse educator and I've seen health care change dramatically over the last 40 years. I ran for the Tri-City Healthcare District Board in 2014 as a way of giving back to the hospital and community that taught me how to be a nurse. I'm running for re-election this year for those reasons as well as a determination to help the District meet the healthcare needs of our community as we finish the second decade of the 21st century.

FAQ-Emergency Department


 Emergency Department visits

How come Tri-city Emergency Department has few visits than Palomar's? 


Well, there are two reasons for that. First, ED visits are down all over the country because insurance companies won't pay for them anymore. It used to be you had a hefty co-pay but the insurance company would pay for the visit. Now they won't, so people are going to urgent cares, trying to get in to see their own providers, or just muddling along as best they can.


The second reason is simpler. The Tri-City Healthcare Distract is approximately 136 square miles and has about 350,000 people. Palomar on the other hand has two hospital their district is about 800 square miles with over 800,000 people. And as a county-designated trauma center, Palomar's responsibility is extended to 2200 square miles. So yes, Palomar sees more ED patients than Tri-City because they have more people and serve a larger area.



The inpatient census is important, but so are the outpatient procedures. 


If the census is down, why are you finishing a new parking lot and making plans to build a parking structure?


Well, the inpatient census generally runs from 160 to 180. Of course, there are times when it spikes up to 200 or more (like flu season). But the inpatients aren't the only ones coming to Tri-City for care.


For every inpatient, Tri-City sees 2 to 3 outpatients (excluding the Emergency Department). People come for lab work, radiology studies, and procedures like cataract operations. So the extra parking is necessary.


The parking lot replaces the spaces that will be taken out of service during the building of the parking structure.

Candidate Contact Info

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