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Health Services Department recommending the Board consider the following:
1) Authorize the Health Services Director to execute three (3) multi-party Memoranda of Understanding with the American Heart Association, Marshall Medical Center, and each of the following: Mercy General Hospital, Sutter Memorial Hospital, and University of California, Davis Medical Center, on behalf of the County, to implement medical transportation protocols for patients experiencing electrocardiograph-confirmed ST-elevation myocardial infarction. These agreements were developed in accordance with master Memorandum of Understanding provided by the American Heart Association and involve no remuneration for services. Each Agreement has a term effective on final signature with termination upon notice by one of the parties.
2) Authorize the Health Services Director to execute future similar agreements, contingent upon approval by County Counsel and Risk Management, so long as the master document does not materially change, and the agreements involve no remuneration.
FUNDING: Not applicable.
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Fiscal Impact/Change to Net County Cost: There is no Net County Cost associated with these Agreements. There is no remuneration between the parties pursuant to these Agreements.
Background: The American Heart Association has developed a master agreement format in support of their “Mission Lifeline” program, to engage local Emergency Medical Services (EMS) Agencies and hospitals in ensuring timely and appropriate response for patients suffering ST-elevation myocardial infarction. The S-T segment is “an isoelectric line after the QRS complex on the electrocardiogram. It represents phase 2 of the cardiac action potential. Elevation or depression of the S-T segment is the hallmark of myocardial ischemia or injury and coronary artery disease.” Ischemia is an insufficient supply of blood to an organ, usually due to a blocked artery.
An ST-elevation myocardial infarction (STEMI) is d...
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