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C. 55
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: September  10, 2019
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Contract #23-430-4 with John Muir Health

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   09/10/2019
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
ABSENT:
John Gioia, District I Supervisor
Contact: Patricia Frost, 925-313-9560
cc: F Carroll     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:     September  10, 2019
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #23-430-4, which contains mutual indemnification language with John Muir Health, 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, 2019 through August 31, 2022.  

FISCAL IMPACT:

Contractor will pay County a fee of $7,500 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 County’s Emergency Medical Services (EMS) Agency implemented a program designating hospitals as 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.   
  
Heart attacks represent a major cause of death and disability in the United States, affecting over 610,000 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 STEMIs identified by Contra Costa EMS providers are estimated to be in the range of 100-150 patients per year.  
  
On August 2, 2016, the Board of Supervisors approved Contract #23-430-3 with John Muir Health, Inc. (dba John Muir Health Walnut Creek Campus), to act as a designated STEMI receiving center to provide specialized treatment for STEMI patients with a cardiac condition, through August 31, 2019.   
  
Approval of Contract #23-430-4 will allow the Contractor to continue providing services through August 31, 2022. This Contract includes agreeing to hold each party harmless from any claims arising out of the performance of this Contract.   

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, this designated STEMI receiving center would be disrupted and patients with life threatening cardiac conditions could experience delays in definitive care increasing the risk of permanent disability or death.   

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