To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #23-437-6 with San Ramon Regional Medical Center, LLC (dba San Ramon Regional Medical Center)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #23-437-6 with San Ramon Regional Medical Center, LLC (dba San Ramon Regional Medical Center), a limited liability company, to pay County an annual oversight fee of $7,500 and to act as a designated receiving 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, 2025 through August 31, 2028.
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’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.
This Contractor has been a part of the County’s EMS network acting as a designated STEMI receiving center, providing these services and fostering a deep understanding of the the County’s mission, values, and long-term objectives since September 2008. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On August 16, 2022, the Board of Supervisors approved Contract #23-437-5 with San Ramon Regional Medical Center, LLC (dba San Ramon Regional Medical Center), to act as a designated STEMI receiving center to provide specialized treatment for STEMI patients with a cardiac condition, for the period September 1, 2022 through August 31, 2025. This Contract included mutual indemnification.
Approval of Contract #23-437-6 will allow Contractor to continue providing services through August 31, 2028. This Contract includes mutual indemnification 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.