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TO: BOARD OR SUPERVISORS U-4A
FROM : Mark Finucane , Health Services Director Contra
By : Elizabeth A. Spooner , Contracts Administrator
DATE; May 22, 1989 Costa�
County
SUBJFCT: Approval of Hospital Agreement #29-325-1
with John Muir Medical Center
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Chairman to execute on behalf of the
County, Hospital Agreement 429-325-1 with John Muir Medical
Center which continues designation of John Muir Medical Center
as the County ' s Level II Trauma Center from May 22 , 1989 through
May 21 , 1992 .
II . FINANCIAL IMPACT :
John Muir Medical Center will pay County an $85 ,000 designation
fee upon execution of the agreement , and will pay an annual
designation fee of $100 ,000 for each of the remaining two .years
of the contract term.
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
This agreement continues the designation of John Muir Medical
Center as the County ' s Trauma Center and continues the County
Trauma System Plan approved by the State Emergency Medical
Services Authority on December 21 , 1985 .
Since implementation of the County' s Trauma System in 1986 , John
Muir Medical Center has well served the residents of Contra
Costa County, as evidenced by periodic evaluations conducted by
outside trauma experts and statistical data showing reductions
in preventable trauma deaths . This information is contained in
the first and second year annual reports on the trauma system
(dated June 9 , 1987 and September 28, 1988 , respectively) which
.have been presented to your Board . A recently completed eva-
luation conducted by Dr. Frank Lewis , Chief of Trauma at San
Francisco General Hospital , affirms that John Muir continues to
provide a high level of trauma care .
The first-year designation fee of $85 ,000 represents a $15 ,000
.reduction in the existing annual designation fee . This is the
result of a negotiated reduction as provided for in the current
contract based upon receipt of funds under the SB-12/SB-612
Emergency Medical. Services fund .
DG
CONTINUED ON ATTACHMENT; _ YES SIGNATURE;
RECOMMENDATION OF COUNTY ADMINI97RA70R -_ RECOMMENDAT O OF BOARD OMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
)< UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: _ NOES:_ AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED JUN 6 1989
Auditor-Controller (Claims)
John Muir Medical Center PHIL BATCHELOR. CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-0313Y DEPUTY