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File #: 12287   
Type: Consent Status: Passed
File created: 5/30/2025 Department: Inland Counties Emergency Medical Agency
On agenda: 6/10/2025 Final action: 6/10/2025
Subject: Contract Amendments with Local Hospitals for ST Elevation Myocardial Infarction Receiving Center Designation
Attachments: 1. CON-ICEMA-061025-PVHMC, 2. CON-ICEMA-061025-SARH, 3. CON-ICEMA-061025-SBMC, 4. CON-ICEMA-061025-SMMC, 5. CON-ICEMA-061025-DVH, 6. CON-ICEMA-061025-LLUMC, 7. Item #119 Executed BAI, 8. 20-523 A-1 Executed Contract, 9. 20-524 A-1 Executed Contract, 10. 20-525 A-1 Executed Contract, 11. 20-526 A-1 Executed Contract, 12. 20-527 A-2 Executed Contract, 13. 20-522 A-1 Executed Contract

REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS

OF INLAND COUNTIES EMERGENCY MEDICAL AGENCY

AND RECORD OF ACTION

 

                                          June 10, 2025

 

FROM

DANIEL MUÑOZ, Interim EMS Administrator, Inland Counties Emergency Medical Agency

 

SUBJECT                      

Title                     

Contract Amendments with Local Hospitals for ST Elevation Myocardial Infarction Receiving Center Designation

End

 

RECOMMENDATION(S)

Recommendation

Acting as the governing body of the Inland Counties Emergency Medical Agency, approve revenue contract amendments with each of the hospitals listed below, extending the term by an additional three years from July 1, 2025 through June 30, 2028, in which Inland Counties Emergency Medical Agency shall continue to receive an annual fee, currently $17,445, from each contract to offset the costs associated with designating these hospitals as a Cardiovascular ST Elevation Myocardial Infarction Receiving Center:

1.                     Desert Valley Hospital, Amendment No. 1 to Contract No. 20-522.

2.                     Loma Linda University Medical Center, Amendment No. 1 to Contract No. 20-523.

3.                     Pomona Valley Hospital Medical Center, Amendment No. 1 to Contract No. 20-524.

4.                     San Antonio Regional Hospital, Amendment No. 1 to Contract No. 20-525.

5.                     St. Bernardine Medical Center, Amendment No. 1 to Contract No. 20-526.

6.                     St. Mary Medical Center LLC, Amendment No. 2 to Contract No. 20-527.

(Presenter: Daniel Muñoz, Interim EMS Administrator, 388-5807)

Body

 

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES

Provide for the Safety, Health and Social Service Needs of County Residents.

 

FINANCIAL IMPACT

Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The annual fee of $17,445 paid by each hospital will cover the costs incurred by Inland Counties Emergency Medical Agency (ICEMA) related to the evaluation and oversight of the Cardiovascular ST Elevation Myocardial Infarction (STEMI) program. Revenue and appropriation from these contracts are included in ICEMA’s 2025-26 recommended budget and will be included in future recommended budgets.

 

BACKGROUND INFORMATION

ICEMA, as the local Emergency Medical Services (EMS) agency, is responsible for ensuring effective EMS for the Counties of San Bernardino, Inyo, and Mono. ICEMA administers State and local codes and regulations governing the provision of emergency medical care to the sick and injured at the scene of an emergency and during transport to an acute care hospital. ICEMA ensures an effective system of quality patient care and coordinated emergency medical response by planning, implementing and evaluating an effective emergency medical services system including, pre-hospital providers, specialty care hospitals and hospitals.

 

Approval of these contracts will allow the hospitals listed above to receive and provide care for STEMI (commonly understood as a heart attack) patients, as well as allow ICEMA to administer, monitor, evaluate, and provide continuous quality improvement programs of the implemented STEMI Care System.

 

On July 1, 2019, the State of California’s STEMI Critical Care System Regulations became effective. To align current STEMI Receiving Center Designation standards with State regulations, ICEMA updated its STEMI designation policy to reflect language from the California Code of Regulations, Title 22, Division 9, Chapter 7.1, STEMI Critical Care System.

 

Currently, ICEMA designates the following hospitals as ST Elevation Myocardial Infarction Receiving Centers: Desert Valley Hospital (DVH), Loma Linda University Medical Center (LLUMC), Pomona Valley Hospital Medical Center (PVHMC), San Antonio Regional Hospital (SARH), St. Bernardine Medical Center (SBMC), and St. Mary Medical Center LLC (SMMC). The designations are summarized below:

 

Hospital

Board Date

Item No.

Designation

Term

DVH

June 23, 2020

102

STEMI

July 1, 2020 - June 30, 2025

LLUMC

June 23, 2020

102

STEMI

July 1, 2020 - June 30, 2025

PVHMC

June 23, 2020

102

STEMI

July 1, 2020 - June 30, 2025

SARH

June 23, 2020

102

STEMI

July 1, 2020 - June 30, 2025

SBMC

June 23, 2020

102

STEMI

July 1, 2020 - June 30, 2025

SMMC

June 23, 2020

102

STEMI

July 1, 2020 - June 30, 2025

SMMC*

December 14, 2021

65

STEMI

July 1, 2020 - June 30, 2025

* Amendment to update the official name of the hospital.

 

The goal of designating STEMI Receiving Centers is to identify medical facilities that have an organized approach to treatment of STEMI patients with qualified staff and appropriate capabilities. EMS field personnel, who are specially trained to identify STEMI patients in the pre-hospital setting, can rapidly transport STEMI patients directly to designated centers for timely treatment. The data demonstrates that survival from a STEMI is largely dependent upon prompt recognition and transport to facilities demonstrating the ability and commitment to provide rapid care with the proper resources.

 

PROCUREMENT

Not applicable.

 

REVIEW BY OTHERS

This item has been reviewed by County Counsel (John Tubbs II, Deputy County Counsel, 387-3203) on April 16, 2025; Risk Management (Gregory Ustaszewski, Staff Analyst II, 386-9008) on April 22, 2025; Finance (Carl Lofton, Administrative Analyst, 387-5404 May 22, 2025; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on May 23, 2025.