HomeMy WebLinkAboutMINUTES - 01062015 - C.92RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#23-516-1 with San Ramon Regional Medical Center, LLC, a Limited Liability Company, 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 general fund impact. EMS staff costs to be covered under County Service Area EM-1 and charges to participating
hospitals.
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: 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. 92
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:January 6, 2015
Contra
Costa
County
Subject:Contract #23-516-1 with San Ramon Regional Medical Center, LLC
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 April 17, 2012, the Board of Supervisors approved Contract #23-516 with San Ramon Regional Medical Center,
LLC 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.
Approval of Contract #23-516-1 will designate San Ramon Regional Medical Center, LLC 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, 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