HomeMy WebLinkAboutMINUTES - 12162014 - C.46RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#23-497-1 with Kaiser Foundation Hospitals, (dba Kaiser Permanente – Richmond), a non-profit corporation, to pay
the County an amount not to exceed $5,000 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 2015 through December 31, 2017.
FISCAL IMPACT:
$5,000 will be paid to the County for 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
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/16/2014 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Frost,
925-313-9554
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: December 16, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: J Pigg, C Rucker
C. 46
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 16, 2014
Contra
Costa
County
Subject:Contract #23-497-1 with Kaiser Foundation Hospitals (dba Kaiser Permanente – Richmond)
BACKGROUND: (CONT'D)
in the brain (hemorrhagic stroke). Research 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. On October 25, 2011 the Board of Supervisors approved Contract #23-497 with Kaiser Foundation Hospital
with designate Kaiser Permanente – Richmond 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.
Approval of Contract #23-497-1 will allow the Contractor to continue as a designated Primary Stroke Center that is
prepared to respond with emergency department teams in consultation with neurologists, to promptly intervene when
notified of the impending arrival of a stroke patient, through December 31, 2017, 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.