Agenda

Return

C. 45

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	August 2, 2016

Contra

Costa

County

Subject:

Approve Contract #23-437-3 with San Ramon Regional Medical Center

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 08/02/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Patricia Frost, 313-9560
cc:	T Scott 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: August 2, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or his designee, to execute, on behalf of the County, Contract #23-437-3 with San Ramon Regional Medical Center, a non-profit corporation, to act as a designated center to assist patients who have been assessed by ambulance personnel with a cardiac condition known as ST Elevation Myocardial Infarction (STEMI), for the period from September 1, 2016 through August 31, 2019.

FISCAL IMPACT:

Contractor will pay County a fee of $5,000 per year to offset the costs of County’s oversight activities. There is no general fund impact.

BACKGROUND:

In collaboration with hospitals, first-responders, and transport agencies, Contra Costa’s Emergency Medical Services (EMS) Agency has been working towards implementing a program designating hospitals as ST Elevation Myocardial Infarction (STEMI) receiving centers. The designated centers will provide the most advanced and rapid care for patients with heart attacks known as STEMI by unblocking arteries in the heart in a rapid fashion.

BACKGROUND: (CONT'D)

Heart attacks represent a major cause of death and disability in the United States, affecting over 400,000 persons annually. This kind of heart attack occurs among 2.5% to 5% of patients with chest pain or other cardiac symptoms. The number of STEMI patients identified by Contra Costa EMS providers are estimated to be in the range of 100-150 patients per year. On September 10, 2013, the Board of Supervisors approved Contract #23-437-2 with San Ramon Regional Medical Center to act as a designated STEMI receiving center to provide specialized treatment for STEMI patients with cardiac conditions, for the period from September 1, 2013 through August 31, 2016.

Approval of Contract #23-437-3 will allow the Contractor to continue providing services through August 31, 2019, including mutual indemnification.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, Contractor will not act as a designated STEMI receiving center for patients with cardiac conditions.

CHILDREN'S IMPACT STATEMENT:

Not Applicable