Upon execution of this extension and annually thereafter, John Muir Medical Center will continue to pay County a $250,000 designation fee, plus $100,000 for use by County in funding programs to decrease violence or to prevent injury, for a total of $350,000 annually.

John Muir Medical Center in Walnut Creek was initially designated as the County’s level II Trauma Center in 1986 following a competitive selection and review process. In May 1992, a revised Trauma Center Designation Agreement was entered into between John Muir and the County assuring continuation of the agreement through 2012.   
  
Since its designation as a Level II Trauma Center in 1986, John Muir Medical Center has consistently provided an excellent level of trauma care as evidenced by outside evaluations and through the hospital’s participation in the ongoing Alameda-Contra Costa Trauma Audit Committee process. On September 26, 2006, the Board of Supervisors adopted Resolution 2006/580 recognizing John Muir’s dedication and performance in providing superior trauma care to the residents of Contra Costa County. A 2008 Survival Measurement and Reporting Trial for Trauma (SMARTT) report conducted in conjunction with the American College of Surgeons rated John Muir Medical Center as a “very high quality hospital” and among the top few of some 125 Level I and Level II trauma centers submitting data to the National Trauma Data Bank.  
  
On August 10, 2010, an amendment to this agreement as approved by the Board of Supervisors, extended the agreement for ten (10) years through May 21, 2021; allowed for an additional 10-year extension through May 21, 2031, upon a finding by the Board of Supervisors that (1) the County is satisfied with John Muir’s performance, (2) the County’s demographics or other factors have not changed to the extent that the County Trauma System Plan requires substantial modification, (3) John Muir’s patient charges are consistent with those of other northern California trauma centers, and (4) that John Muir has continued to work reasonably and cooperatively with the County in response to an evolving emergency medical service system and to an evolving healthcare system; and allowed for annual renewals after May 21, 2031, with the County able to cancel without cause with a two-year notification.  
  
John Muir Medical Center (JMMC) requested the ten-year amendment of the Trauma Center Designation Agreement through May 21, 2031, as necessary for the hospital’s substantial investment in expansion of the trauma center physical facilities and expansion of physician panels to respond for trauma care. The Department supports continuing the agreement based on the information provided in this Board Order and the attached State of the Trauma Center at John Muir Health 2019 Report. Our Emergency Medical Services Agency, in accordance with our statutory authority, is ready to re-designate the JMMC trauma center based on the attached findings of substantial compliance, and therefore recommends renewal of the agreement and renewal process.  
  
Approval of this Amendment Agreement #29-325-3 allows John Muir Medical Center to continue to partner with the County for designation and oversight of the trauma care program through May 21, 2031 or beyond as may be approved by the Board of Supervisors.

Potential for direct impact resulting in disruption in trauma services to the residents and visitors of Contra Costa County.