TO: Board of Supervisors
FROM: Jennifer Yasumoto - Director Health & Human Services
REPORT BY: Gaby Angeles - Staff Services Analyst II
SUBJECT: Renewal of Agreement No. 190235B with St. Joseph Health Northern California, LLC (Stroke Receiving Center)
RECOMMENDATION
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Director of Health and Human Services requests approval of and authorization for the Chair to sign the renewal of Agreement No. 190235B with St. Joseph Health Northern California, LLC doing business as Queen of the Valley Medical Center for an annual maximum of $30,000 for the term January 1, 2022 through December 31, 2022 and two additional one year terms for designation as a Stroke Receiving Center.
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EXECUTIVE SUMMARY
The purpose of today's requested action is to renew Revenue Agreement No. 190235B with St. Joseph Health Northern California, LLC dba Queen of the Valley Medical Center (Queen) to re-designate as a Stroke Receiving Center pursuant to Section 1798.170 of the Health and Safety Code, for the term January 1, 2022 through December 31, 2022 and two additional automatic renewals through December 31, 2024. This designation is necessary to ensure that Stroke Alert patients are referred to facilities offering a high quality of care and that meet Stroke Receiving Center Standards.
Under this Agreement, the Queen shall reimburse the Emergency Medical Services (EMS) Agency for functions related to its designation as a Stroke Receiving Center. The annual fee is $30,000 for a total contract maximum of $90,000.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health & Human Services Public Health |
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Is it Mandatory or Discretionary? |
Mandatory |
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Discretionary Justification: |
N/A |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This Agreement terminates on December 31, 2024. Appropriations have been included in the approved Fiscal Year 2021-2022 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
Failure to approve this Agreement would result in Napa County being out of compliance with State regulations. If the Queen is not designated as a Stroke Receiving Center, patients throughout Napa County who require the specialized care and treatment provided by a Stroke Receiving Center, would have to be transported farther to St. Helena Hospital or outside of Napa County to receive life-saving services. This delay in reaching the services of a Stroke Receiving Center would impact patient outcomes. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
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Additional Information |
N/A |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
A Stroke Receiving Center is designated by the Local Emergency Medical Services Agency (LEMSA) to receive patients suffering from heart attacks, in accordance with California Health & Safety Code - Division 2.5 and California Code of Regulations - Title 22.
Stroke facilities and Stroke Center Designation are part of the local EMS system as detailed in the LEMSA EMS Plan approved by the EMS Authority. Approval of the recommended revenue agreement will designate the Queen as a Stroke Receiving Center. Queen provides Stroke Receiving Center services to any Stroke patient who comes to the emergency department, regardless of the patient’s ability to pay physician fees and/or hospital costs.
This Agreement will provide the LEMSA with funding to offset some of the cost incurred for the provision of ongoing oversight for the Stroke program.