HomeMy WebLinkAboutMINUTES - 08032010 - SD.3RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Art Lathrop), to
execute, on behalf of the County, Amendment Agreement #29-325-3 with John Muir
Medical Center, a non-profit corporation, effective May 22, 2010, to amend Agreement
#29-325-2, to make technical adjustments to the term, the designation fee and to modify the
services plans of the Agreement and to extend the term from May 21, 2011 through May
21, 2021.
FISCAL IMPACT:
Upon execution of this amendment agreement, and annually thereafter, John Muir Medical
Center will pay County $250,000 designation fee, plus $100,000 for use by County in
funding programs to decrease violence or to prevent injury for a total of $350,000 annually.
These payments are an increase from the existing $75,000 annual trauma designation fee
and from the existing $30,500 annual payments for violence and injury prevention.
BACKGROUND:
John Muir Medical Center in Walnut Creek was initially designated as the County’s Level II
Trauma Center in 1986 following a competitive selection and review process.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 08/03/2010 APPROVED AS RECOMMENDED OTHER
Clerks Notes:See Addendum
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Susan A. Bonilla, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Art Lathrop
925-646-4690
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: August 3, 2010
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: J Pigg, B Borbon
SD.3
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:August 3, 2010
Contra
Costa
County
Subject:Amendment Agreement #29-325-3 with John Muir Medical Center for the Trauma Center Designation and
Hospital
BACKGROUND: (CONT'D)
In May 1992, a revised Trauma Center Designation Agreement was entered into between
John Muir and the County assuring continuation of the Agreement through 2012. This
proposed modification of this Agreement would extend the term of the Trauma Designation
Agreement for ten (10) years through May 21, 2021, and for an additional ten (10) years
through May 21, 2031 upon a finding by the Board of Supervisors that (1) that the County
is satisfied with Muir’s performance, (2) that the county’s demographics or other factors
have not changed to the extent that the County Trauma System Plan requires substantial
modification, (3) that Muir’s patient charges are consistent with those of other northern
California trauma centers, and (4) that Muir has continued to work reasonably and
cooperatively with the County in response to an evolving emergency medical service system
and to an evolving healthcare system. The Agreement would renew annually after 2031
with the County able to cancel without cause with a two-year notification. This extension of
the Trauma Center Designation Agreement was requested by John Muir Medical Center as
necessary for the hospital’s substantial investment in expansion of the trauma center
physical facilities and expansion of physician panels to respond for trauma care.
Since its designation as a Level II Trauma Center in 1986, John Muir Medical Center has
consistently provided an excellent level of trauma care as evidenced by outside evaluations
and through the hospital’s participation in the ongoing Alameda-Contra Costa Trauma Audit
Committee process. On September 26, 2006, the Board of Supervisors adopted Resolution
2006/580 recognizing John Muir’s dedication and performance in providing superior trauma
care to the residents of Contra Costa County. A 2008 Survival Measurement and Reporting
Trial for Trauma (SMARTT) report conducted in conjunction with the American College of
Surgeons rated John Muir Medical Center as a “very high quality hospital” and among the
top few of some 125 Level I and Level II trauma centers submitting data to the National
Trauma Data Bank.
Approval of this Amendment Agreement #29-325-3 will modify the terms and conditions of
the services plan, allowing John Muir Medical Center to continue to partner with the County
for designation and oversight of the trauma care program through May 21, 2021 or beyond
as may be approved by the Board of Supervisors.
CLERK'S ADDENDUM
CONTINUED to August 10, 2010 meeting as a Short Discussion item to allow for
inclusion and review of the contractual documents.