To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Ambulance Patient Offload Times (APOT) Report for October 1, 2021 - September 30, 2026
Recommendation: Recommendation of the County Administrator

RECOMMENDATIONS:
ACCEPT the Ambulance Patient Offload Times (APOT) Report for October 1, 2021 to September 30, 2026 prepared by the Health Services Department.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
The Contra Costa County Emergency Medical Services Agency (CCCEMSA) prepares Ambulance Patient Offload Time (APOT) reports for all receiving facilities in the county. At its September 1, 2026 meeting, the Emergency Medical Care Committee (EMCC) approved the direct submission of all future quarterly APOT reports to the Board of Supervisors (BOS) for acceptance. The attached report includes data from the time period of October 1, 2021 thru September 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to accept the Ambulance Patient Offload Times Report will leave the Board without current, data-driven visibility into ambulance patient offload performance across all county receiving facilities, depriving it of the performance data needed to support informed policy decisions regarding emergency medical services delivery across Contra Costa County.