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FROM ; Mark Pinucane , I):i.rector Contra
Health Services `Department t�Jla
DATE; January 3 , 1992 County
SUBJECT: Request for Proposal for
Trauma Center Designation
SPECIFIC REQUEST(SI OR RECCMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Approve the Request for Proposal (RFP) for Trauma Center
Designation and authorize distribution by the Health Services
Director to all Contra Costa County hospitals licensed as Basic
Emergency Facilities.
FISCAL IMPACT:
The Request for Proposals specifies a $10, 000 application fee to
cover County costs related to proposal review and site visits.
The successful applicant will be required to enter into a Trauma
Center Designation Agreement with the County which will require
payment of an annual designation fee to the County to offset
ongoing costs of trauma system monitoring and planning. The fee
will be initially set at $115, 000. This is an increase of
$15, 000 over the existing annual trauma center designation fee
received by the County from John Muir Medical Center.
SUMMARY:
This RFP seeks proposals from Contra Costa County hospitals for
designation of a single trauma center to serve all of Contra
Costa County and establishes a review process to recommend
selection to the Board of Supervisors. The RFP, selection
process, and trauma center standards are similar to that
established by the Board when the trauma system was initiated in
1986, except that "service to the community" has been added as an
additional selection criterion. Under this criterion, selection
will include consideration of specific programs or proposals in
which the hospital is engaged or proposes to undertake if granted
trauma center designation which reflect the hospital ' s overall
commitment to the medical and health care of all segments of the
County ' s population. Additionally, this RFP proposes to make
trauma center designation permanent (except for cause) following
two three-year contract periods.
CONTINUED ON' ATTACHMENT: X VES SIGNATURE: A4vtl,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
S I GNATURE I S I: 7 ,
ACTION OF BOARD ON __J nU r4 14 1_q9-2 _ APPROVED AS RECOMMENDED
VOTE OF .SUPERVISORS
I HERE6Y CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON TILE DATE SHOWN.
cc, ATTESTED .-January.-I-4,_ 19-92 ,
Vl$ _Health. ':SerVl.CeS PHIL BATCHELOR. CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
AzaBY ,DEPUTY
M382%1-83 --
BACKGROUND:
In December 1985, the Board of Supervisors approved a Trauma
System Plan for Contra Costa County. In accordance with State
regulations and American College of Surgeons' guidelines on
trauma center catchment areas, this plan specified one trauma
center to serve the entire county. The plan was approved by the
State Emergency Medical Services Authority. A competitive
selection process was established by the Board and all hospitals
invited to submit proposals for trauma center designation. John
Muir Medical Center was the sole applicant. Following a rigorous
proposal review and on site inspection by an outside trauma
center review team, John Muir Medical Center was designated as
the County' s trauma center on April 29, 1986, and a three year
Trauma Center Designation Agreement was approved by the Board of
Supervisors. This Trauma Center Designation Agreement was
subsequently renewed for an additional three year period through
April 28, 1992 .
On June 21, 1991, the Health Services Department presented a
report to the Board of Supervisors on the status of the County's
Trauma Care System. In reviewing the past five years of
operation, the Board of Supervisors found the County' s trauma
system to be an unqualified success.
At this time the recommendation for an RFP process is to allow
other hospitals a final opportunity to seek trauma center
designation by demonstrating their ability to provide trauma
center services and to give all hospitals the opportunity
demonstrate their commitment to medical and health care for all
segments of the community.