Agenda

Return

C.151

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	October 17, 2017

Contra

Costa

County

Subject:

Approval of Contract #23-516-2 with San Ramon Regional Medical Center, LLC

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/17/2017

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:	Patricia Frost, 925-313-9554
cc:	D Morgan 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: October 17, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract #23-516-2 with San Ramon Regional Medical Center, LLC, a Limited Liability Company, to act as a designated primary stroke center 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.

FISCAL IMPACT:

Since this is a non-financial agreement, there is no fiscal impact. Services provided by Emergency Medical Services (EMS) staff when directing suspected stroke patients to San Ramon Regional Medical Center are typical first responder duties and covered under County Service Area EM-1 revenues and charges to participating hospitals.

BACKGROUND:

In collaboration with hospitals, fire first responders, emergency ambulance services, the Contra Costa Emergency Medical Care Committee, and the Contra Costa Stroke Advisory Committee, Contra Costa EMS has been working towards implementing a program that will provide quicker access to definitive care for patients with acute stroke symptoms. 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 a 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 January 6, 2015, the Board of Supervisors approved Contract #23-516-1 with San Ramon Regional Medical Center, LLC to act as a designated primary stroke 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.

Approval of Contract #23-516-2 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, 2020. 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.