HomeMy WebLinkAboutMINUTES - 11082011 - C.29RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf
of the County, Contract #23-504 with West Contra Costa Health Care District (dba Doctors’
Medical Center– San Pablo), a non-profit corporation, to act as a designated center to assist
patients who have been assessed by ambulance personnel with a suspected stroke, for the
period from January 1, 2012 through December 31, 2014.
FISCAL IMPACT:
No cost associated with the designation.
BACKGROUND:
In collaboration with hospitals, fire first-responders and emergency ambulance services,
Contra Costa Emergency Medical Care Committee, and the Contra Costa Stroke Advisory
Committee, Contra Costa EMS has been working towards implementation of a program that
will provide quicker access to definitive care for patients with symptoms of acute stroke.
Strokes occur when blood flow to the brain has been disrupted due to a blockage in a vessel
(ischemic stroke) or bleeding in the brain (hemorrhagic stroke).
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 11/08/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Frost,
313-9554
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: November 8, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Jacqueline Pigg, Demetria Gary
C.29
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:November 8, 2011
Contra
Costa
County
Subject:Approval of Contract #23-504 with West Contra Costa Health Care District (dba Doctors’ Medical Center–
San Pablo)
Research
BACKGROUND: (CONT'D)
has shown significant reduction in mortality and morbidity when stroke patients are
identified in the field and transported, with advance notification, to a hospital staffed and
equipped to provide rapid stoke care. A nationally-recognized goal is to provide primary
stroke center intervention within three to four and one half hours of onset of symptoms.
Identification of a suspected stroke patient begins in the field and requires rapid
identification and subsequent triage to a primary stroke center. All ambulance and fire first
responder paramedics in the county have been trained in the rapid recognition of stroke
patients using the Cincinnati Stroke Scale.
Approval of Contract #23-504 will designate West Contra Costa Health Care District (dba
Doctors’ Medical Center– San Pablo) as a Primary Stroke Center that is prepared to respond
with emergency department teams in consultation with neurologists, to promptly intervene
when notified of the pending arrival of a stroke patient, through December 31, 2014,
including mutual indemnification to hold harmless both parties for any claims arising out of
the performance of this Contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, designation of this facility as a Primary Stroke Center will
impede the implementation of a coordinated stroke system in Contra Costa County.
CHILDREN'S IMPACT STATEMENT:
Not applicable.