HomeMy WebLinkAboutMINUTES - 01062015 - C.86RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#23-493-1 with John Muir Health Inc., (dba John Muir Medical Center-Walnut Creek 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:
No fiscal impact from 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 when stroke patients are identified in the field and transported, with advance notification,
APPROVE OTHER
RECOMMENDATION OF CNTY
ADMINISTRATOR
RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 01/06/2015 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: January 6, 2015
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: J Pigg , C Rucker
C. 86
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:January 6, 2015
Contra
Costa
County
Subject:Contract #23-493-1 with John Muir Health, Inc. (dba John Muir Medical Center-Walnut Creek Campus
BACKGROUND: (CONT'D)
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 #23-493 with John Muir Health, Inc. to designate
John Muir Medical Center-Walnut Creek Campus 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, for the period from January 1, 2011 through December 31, 2014.
Approval of Contract #23-493-1 will allow the Contractor to continue as a Primary Stroke Center 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.