Agenda

Return

C. 75

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	January 19, 2021

Contra

Costa

County

Subject:

Contract #23-494-3 with John Muir Health, Inc. (dba John Muir Medical Center – Concord Campus)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/19/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Marshall Bennett, 925-608-5454
cc:	L Walker M Wilhelm

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 19, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #23-494-3 with John Muir Health Inc., (dba John Muir Medical Center – Concord Campus), a non-profit corporation, including mutual indemnification, to act as a designated Primary Stroke Center (PSC) to assist patients who have been assessed by ambulance personnel as suffering from a suspected stroke, for the period from January 1, 2021 through December 31, 2023.

FISCAL IMPACT:

This is a nonfinancial agreement. Emergency Medical Services (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, Contra Costa Stroke Advisory Committee, and Contra Costa EMS have 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, 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 December 12, 2017, the Board of Supervisors approved Contract #23-494-2 with John Muir Health Inc. (dba John Muir Medical Center-Concord Campus), to act as a designated PSC to assist patients who have been assessed by ambulance personnel with a suspected stroke, for the period from January 1, 2018 through December 31, 2020.

Approval of Contract #23-494-3 will allow John Muir Medical Center – Concord Campus to continue as a designated PSC 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, 2023. This contract includes 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.