HomeMy WebLinkAboutMINUTES - 12162014 - C.47RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#23-494-1 with John Muir Health Inc, (dba John Muir Medical Center – Concord Campus), 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, 2015 through December 31, 2017.
FISCAL IMPACT:
The County will receive $5,000 for approval of 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). Research has shown significant reduction in mortality
and morbidity
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. 47
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 16, 2014
Contra
Costa
County
Subject:of Contract #23-494-1 with John Muir Health, Inc. (dba John Muir Medical Center – Concord Campus)
BACKGROUND: (CONT'D)
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 #23-494 with John Muir
Health Inc. (dba John Muir Medical Center-Concord Campus), 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, including agreeing to mutually indemnify to hold harmless both parties for any claims arising
out of the performance of this Contract.
Approval of Contract #23-494-1 will allow John Muir Medical Center – Concord Campus 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 pending 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.