Agenda

Return

C. 54

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 17, 2018

Contra

Costa

County

Subject:

Amendment #23-497-3 with Kaiser Foundation Hospitals (dba Kaiser Permanente – Richmond)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/17/2018

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:	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: April 17, 2018
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract Amendment #23-497-3 with Kaiser Foundation Hospitals, (dba Kaiser Permanente – Richmond), a non-profit corporation, effective January 1, 2018, to amend Contract #23-497-2, to incorporate Contractor’s HIPAA Business Associate Agreement to the contract with no change to the payment limit or term.

FISCAL IMPACT:

No General Fund impact. Emergency Medical Service (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).

BACKGROUND: (CONT'D)

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 5, 2017, the Board of Supervisors approved Contract #23-497-2 with Kaiser Foundation Hospital with designate Kaiser Permanente – Richmond 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 for the period from January 1, 2018 December 31, 2020. This contract includes mutual indemnification to hold harmless both parties for any claims arising out of the performance of this contract.

Approval of Contract Amendment #23-497-3 will allow the contractor to continue to act as a designated Primary Stroke Center through December 31, 2020.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, the additional Business Associate Agreement will not be incorporated into the contract.