EMS Policy Manual - Contra Costa Health Services
EMS Policy Manual - Contra Costa Health Services EMS Policy Manual - Contra Costa Health Services
Contra Costa Emergency Medical Services EMS PRIMARY STROKE CENTER DESIGNATION POLICY #: 38 PAGE: 1 of 2 EFFECTIVE: 5/24/2012 REVIEWED: 5/24/2012 I. PURPOSE To define the designation process and criteria for Primary Stroke Center (PSC) in Contra Costa County. PSCs are facilities that have been designated by the Local EMS Agency as appropriate care centers for patients with suspected stroke. The PSCs work collaboratively with Emergency Medical Services (EMS) system partners to establish and support an optimal system of stroke care in the community. II. APPLICATION PROCESS To apply for designation as an EMS Primary Stroke Center (PSC) in Contra Costa County, the hospital shall: A. Submit a designation application to the Contra Costa EMS Agency. B. Submit applicable designation fees to support Stroke System activities. C. Meet PSC designation criteria and contractual requirements. III. WRITTEN AGREEMENT All PSCs must enter into a written agreement with the Contra Costa EMS Agency prior to designation. The written agreement details the specific obligations of all parties responsible for the management of stroke patient care within the EMS system. IV. PSC DESIGNATION CRITERIA Designation criteria for an EMS PSC in Contra Costa County shall require documentation of the following: A. The facility is a 9-1-1 receiving hospital, licensed in the State of California. B. Certified as a Joint Commission or equivalent National Primary Stroke Center as approved by the EMS Agency. C. Designation of the PSC Medical Director and PSC Nurse Program Manager. D. Hospitals may qualify for PSC designation as a Telestroke Center 1 using telemedicine. E. A written commitment to fully participate in the Contra Costa County EMS Quality Improvement (QI) and data collection program. F. Participation in California Stroke Registry (CSR). G. Internal policies and procedures to assure reliable use of ReddiNet 2 to communicate CT diversion in compliance with EMS Policy 24. H. A Community Stroke Reduction Plan including participation in outreach programs to reduce cardiovascular disease and stroke. V. DESIGNATION PROCESS AND TERM A. Initial PSC designation will be awarded to a hospital following satisfactory review of all evidence to show compliance with this policy and upon completion of an informational site survey conducted by the Contra Costa EMS PSC designation review team. 1 As defined by the AHA, Brain Attack Coalition, California Heart Disease and Stroke Prevention Program, and CDPH Guidelines 2009. 2 ReddiNet: Rapid Emergency Digital Data Information Network.
Contra Costa Emergency Medical Services POLICY #: 38 PAGE: 2 of 2 B. The PSC designation term shall be not more than three years, as specified in the written agreement between the PSC and the County. VI. RENEWAL PROCESS AND TERM A. PSCs who maintain compliance with PSC designation criteria will be eligible for automatic renewal of designation. B. Renewal requires maintaining a written agreement and submission of annual designation fees. VII. OUT-OF-COUNTY DESIGNATION A. PSCs that are located out of the county qualify for recognition as designated PSCs within Contra Costa County under the following conditions: 1) Certified as a Joint Commission or equivalent Primary Stroke Center as approved by the EMS Agency. 2) Designated by their county’s Local EMS Agency as a PSC. 3) If the Hospital is located in a county that does not have a stroke system, the Hospital must enter into a written agreement to be qualified for PSC designation in the Contra Costa Stroke System. VIII. LOSS OF DESIGNATION The inability to meet and maintain PSC designation as defined in this policy and the written agreement is criteria for loss of designation. IX. LIST OF DESIGNATED PRIMARY STROKE CENTERS IN-COUNTY STROKE CENTERS OUT-OF-COUNTY STROKE CENTERS Doctors Medical Center San Pablo Alta Bates Medical Center – Alameda Co John Muir Medical Center – Concord Campus Oakland Summit Medical Center – Alameda Co John Muir Medical Center – Walnut Creek Campus Kaiser Oakland Medical Center– Alameda Co Kaiser Permanente Medical Center– Antioch Kaiser Permanente Medical Center– Richmond Kaiser Permanente Medical Center– Walnut Creek San Ramon Regional Medical Center
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<strong>Contra</strong> <strong>Costa</strong><br />
Emergency Medical <strong>Services</strong><br />
POLICY #: 38<br />
PAGE: 2 of 2<br />
B. The PSC designation term shall be not more than three years, as specified in the written<br />
agreement between the PSC and the County.<br />
VI. RENEWAL PROCESS AND TERM<br />
A. PSCs who maintain compliance with PSC designation criteria will be eligible for automatic renewal<br />
of designation.<br />
B. Renewal requires maintaining a written agreement and submission of annual designation fees.<br />
VII. OUT-OF-COUNTY DESIGNATION<br />
A. PSCs that are located out of the county qualify for recognition as designated PSCs within<br />
<strong>Contra</strong> <strong>Costa</strong> County under the following conditions:<br />
1) Certified as a Joint Commission or equivalent Primary Stroke Center as approved by the<br />
<strong>EMS</strong> Agency.<br />
2) Designated by their county’s Local <strong>EMS</strong> Agency as a PSC.<br />
3) If the Hospital is located in a county that does not have a stroke system, the Hospital must<br />
enter into a written agreement to be qualified for PSC designation in the <strong>Contra</strong> <strong>Costa</strong><br />
Stroke System.<br />
VIII. LOSS OF DESIGNATION<br />
The inability to meet and maintain PSC designation as defined in this policy and the written<br />
agreement is criteria for loss of designation.<br />
IX. LIST OF DESIGNATED PRIMARY STROKE CENTERS<br />
IN-COUNTY STROKE CENTERS OUT-OF-COUNTY STROKE CENTERS<br />
Doctors Medical Center San Pablo Alta Bates Medical Center – Alameda Co<br />
John Muir Medical Center – Concord Campus Oakland Summit Medical Center – Alameda Co<br />
John Muir Medical Center – Walnut Creek Campus Kaiser Oakland Medical Center– Alameda Co<br />
Kaiser Permanente Medical Center– Antioch<br />
Kaiser Permanente Medical Center– Richmond<br />
Kaiser Permanente Medical Center– Walnut Creek<br />
San Ramon Regional Medical Center
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