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HomeMy WebLinkAbout1984-11-27; City Council; Off Agenda; Tri-City Hospital As Trauma Hospitala w > 0 E CL a. ct .. z 0 E $ 8 a z 3 - GI I WP GAHLSBAU - AGEND~ILL J - AB# TITLE: TRI-CITY HOSPITAL AS TRAUMA HOSPITAL DEPT. H MTG. 11-27-84 CITY AT DEPT.~~ r CITY MC RECOMMENDED ACTION: Approve Resolution No. 7r3 0 recommending to the San Diego Coui Board of Supervisors that Tri-City Hospital be designated as a level I1 trauma center. ITEM EXPLANATION : Earlier this year the County Board of Supervisors designated si hospitals in the county as trauma centers. At the time of c!esi tion, Tri-City Hospital did not meet the county criteria for le I1 trauma centers. Recently, Tri-City IIospital was surveyed by team of experts for the purpose of determining its capabilities a trauma center. The hospital received a score of 90.1 points; a passing score is 70. Despite their high score, Tri-City IIospital is not being recomm by the Department of Health Services to the County Board of Supervisors to be included in the San Diego County Trauma Syste Under the current county policies only one trauma center can be designated in north county. Yhe benefit of having Tri-City Hospital designated as a trauma center would be that Carlsbad residents could be treated at a local hospital instead of a San Diego hospital in the event of trauma incident. FISCAL IMPACT: Tile designation of Tri-City Hospital as a trauma center would i! little impact on the City, but would result in savings ($8CO-:!2 to local residents who require trauma care. CXdT B I TS : 1. R,esolution No. 72’30 . 2. Facts illustrating the need from Tri-City Hospital. NOTE : The Board of Supervisors meet at 9:00 AM on Tuesday, December 4 to consider this matter. Buses will leave Sears west parking lot at 7:30 AM to attend the Board meeting. I - W I @EcEIwl NOV 1 9 Lawrence A. Maas, District Administrator 4002 Vista Way, Oceanside, California 92056 IBCT'I PERTINENT FACTS WHICH ILLUSTRATE THE NEED FOR THE DESIGNATION OF TRI-CITY HOSPITAL AS A LEVEL I1 TRAUMA CENTER ... Tri-City Hospital was recently surveyed by a team of expe: for the purpose of determining its capabilities as a Traw Center. The hospital was awarded a score of 90.1 points, 20.1 above the passing score of 70. ...Despite this exceptionally high performance, Tri-City Iiosl is not being recommended by the Department of Health Serv. to the Board of Supervisors to be included in the San Die( County Trauma System, the stated reason for which is that Palomar Hospital scored .3 points higher (90.4) than Tri-( Hospital in the survey and under current County policies only one Trauma Cater can be designated L'? Nerth County. ... In addition to Tri-City Hospital's demonstrated qualifica- as a Traama Center, it also has the documented record of providing the highest volume of trauma services in the Cour,ty (1984 projected trauma cases - 374). This large volume is, of course, due to tremendous population growth in North County, which according to knowledgable estimate! will result in 450 - 500 trauma cases at Tri-City Hospita. in the foreseeable future. ... The most pertinent fact from Camp Pendleton's perspective is that more than 10% of Tri-City's trauma care is providc to military personnel. If the recommendation of the Depa: ment of Health Services is upheld by the Board of Supervi! these military trauma victims, along with all others from area, will be transported to either Scripps Hospital in La Joiia, or Paiomar Eospitai in Escondido at tremendous additional cost and significantly increased risks to the 1 ... The average added cost to the trauma system and trauma v.ic for transport to another hospital is $2,000.00. This doe include the intangible costs to families of trauma victim and the additional stress of traveling many miles to visi with their loved ones. ... The Tri-City Hospital District is the only facility in thc coastal North County area that can receive trauma cases. experts agree that it is optimal to locate a trauma cente "where trauma volume occurs." Other than quality, the mo important single factor in saving lives is TIME. e e 0 r r ...Tri-City Hospital is a designated paramedic base station for the paramedics of Carlsbad, Oceanside, and Vista and has functioned in this capacity since 1975. The hospital has niaintained an excellent relationship with the Fire Departments of these cities and these agencies have indicated their support of Tri-City's designation as a Trauma Center. ... Tri-City Hospital is able to receive trauma victims transported by helicopter because it has a fully licensed helipad. ...Tri-City Hospital, in an effort to maintain a constant state of preparedness for trauma victims, has a designated trauma surgic suite, designated trauma beds, and designated accommodations fo the trauma team to facilitate response times. ... Tri-City Hospital offers a fully equipped and staffed Emergency Department. All physicians in the department are Board certifi by the American Board of Emergency Medicine. In addition, all of these physicians hat7e obtained the status of "Fellow", which indicates board certification by the American Board of Emergenc Medicine and membership in the American College of Emergency Medicine for three years. ... The Board of Directors, Administration, Medical Staff and Hospital Staff have demonstrated a firm commitment by providing a highly qualified, in-hospital trauma team, This in-house Trauma Team, which includes a surgeon and anesthesioloqist, trained in Trauma resuscitation and treatment, exceeds the criteria of the county for a Level I1 Trauma Center. e &ME IS OF THE ESSEN6 Imagine that you've been driving and you've had an accident - a serious acc, need to have the care of a Trauma Center hospitalas quickly aspossible. StatiA that you need to receive this treatment in less than 60 minutes. The clock begi from the moment of the accident. It willbe approximately 2 minutes before your accident is reported. The paramedics will usual] about 8 minutes later. That's IO minutes. OF PARAMEDICS The paramedics willprobably be with you for 7 minutes, getting you ready to transport. The e. practice is to drive you to the licensed helipad at Tri-City Hospital, where the medical helicopter ready to fly you to the Trauma Center at Scripps MemorialHospital. The trip to the helipad willtak minutes. At this point, approximately 29 minutes have passed. ARRIVAL AT TRI-CITY HOSPITAL At the helipad, the medical helicopter will be waiting. the crew has been spending an ave minutes reassessing your condition andpreparing you for your flight. The flight to Scripp's Trau will take another 1 1 minutes. That's a total of more than 60 minutes before the doctors at tl Center begin their work. This is where the clock stops without Tri-City Hospital as a Trauma ARRIVAL SCRIPPS ER The clock could stop in approximately 29 minutes if Tri-City Hospital is designated as 4 Center. Why should Tri-City Hospital be designated as a trauma center? LocatiodVolume: Tri-City Hospital is the only hospital in the North Countycoastal area qualified to receive trauma cases. BE the Interstate 5 corridor and Highway 73 with their high speed and trafficvolume, more trauma casesoccur here than in a area in the County. Cost: The average added cost to the patient to be transported to another Trauma Center is 5800.00. This does not inc additional costs, stress and inconvenience to famili,es of trauma victims from travelling extra miles. Time: Tri-City Hospital's designation as a Trauma Center will cut the transport time in half for a large number of coastal Nort patients. The time saved could be used to save your. life. OnTuesday, December 4th. the San DiegoCounty Boardof Supervisorswill meettodiscuss thedesignation ofTri-City Ha a Trauma Center in North County. Please lend your support by showing the Board that this subject is of great concern to Y You can do this by attending the Board meeting on December4th at the Countyoffices, 1600 Pacific Highway, San Diego ai calling the Supervisors at the following numbers: Leon Williams (236-4444) Paul Fordem (236-2260) Paul Eckert (758-401 1 ) Patrick Boarman (236-2271). Transportation to the Board meeting will be provitded at no charge via buses which will leave from the west end of the park the Plaza Camino Real Shopping Center, adjacent to Sears. The buses will depart at 8:OO a.m. on December 4th. so please 7:45 a.m. w 0 99026 V3 ' 9EZ9 xc leiidsoH Ai nNwan3 * yueqnj '7 miow m/? 'AiaJaxuS ,,we3 noA MO~ $no pu!j pue uo!iewJoju! s!yi peal a .Aepol 13e isnw noA 'p aney 01 ,in# Tau0 panoi JnoA pue jfasJnoA JOJ a~e3 iuaiia3ra 'idwa ayj aniasap noA 'iei!dSoH Jaiua3 ewneJl e se pareufi!sap Ai!~-pl amy oi iiojp J!ayl 01 Aw fiu!puai we 1 ley1 iepdsoH AZ!D-!JJ ie jpis a41 ypM a3uapadxa Aw inoqe A~~~uoJ~s os, -aj!j s,uos Aw panes suojja palempap asoym sJoi3op JO jjets J!ayi j u! puelsi 'sniezsiaiua3 ewneJl si! pue fepds0H AJ!~-!J~ inoqe AsJanOJlUO3 40 aw!i s!yi u/ ewneJ1 iueis!p e 03 JJOdSU€?JJ u! aiqm AiqeqoJdpa!p aneypinom uos Aw 'SlJOJJa asayi in0 wap!me ayi Aq pafiewep SuefiJo Jay, ayi fiU!J!edaJpUe iieay paisaiie s,uos Aw GU!A!A~J 'fiuipaaiq aA!ssew ayl dois 01 Ala6~ns AmafiJaWa 6U!w~O/Jad u! 1JOjJ fiu!puadxa 'Jan0 yooi iei!dsoy ayl uayl *iayueiq pue moii!d e ypm fiu!diay *uo!iDe yo01 SJapueisAq ayi 6u!uu!fiaq ayi 1 .juappDe unJpuei!yieieJ-Jeauieyi U(pi3Jn/U!Ai/e3!i!J3 uos Aw fiu!Aeai'ie3 e Aq ymas aiam ipue uos Aw 9861 'LZ Ainr m* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 m W RESOLUTION NO. 7830 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA RECOMMENDING TO THE SAN DIEGO COUNTY BOARD OF - LEVEL I1 TRAUMA CENTER SUPERVISORS THE DESIGNATION OF TRI-CITY HOSPITAL AS A WHEREAS, the San Diego County Board of Supervisors are authorized to designate hospitals in the county as trauma centers; and WHEREAS, an evaluation of Tri-City Hospital showed that Tri-City Hospital qualifies for designation as a Level I1 Trauma Center with a score of 90.1; and WHEREAS, Tri-City Hospital's district has a large volumt of trauma cases; and WHEREAS, approximately 30 north county victims are bein] transported to other hospitals every month when excellent tr; care is available at Tri-City Hospital, and WHEREAS, there is a significant added cost to the traum victim for transport to other hospitals; and WHEREAS, the Tri-City Hospital Board of Directors have I demonstrated a firm committment to provide highly qualified, in-hospital trauma care 24 hours a day. NOW, THEREFORE, BE IT RESOLVED by the City Council of t City of Carlsbad, California that the City hereby urges the San Diego County Board of Supervisors to designate Tri-City Hospital as a Level I1 Trauma Center. /I // / // I I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 a m PASSED, APPROVED, AND ADOPTED at a regular meeting of th - Carlsbad City Council held the 27th day of November 1984, by the following vote, to wit: AYES: NOES: None ABSENT : None Council Mgpnbers Casler, Lewis, Kulchin, Chick and Pettine +d& MARY H CASLER, Mayor ATTEST: TZ, Deputy City Clerk /. (SEAL) 1 I e W - - --7 -/ . ///e//y IvlOTION ON DESIGNATION OF TRAUMA CENTER FOR SAN DIEGO COUNTY MOTION MADE BY MR. BOARMAN, SECONDED BY MR. WILLIAMS. MOTION PASSED 3-1 WITH MR. ECKERT IN OPPOSITION. MOTION : MOVE TO ACCEPT STAFF RECOMMENDATIONS 1, 2, 3, 5, 6, 7 AND 8, DESIGNATING THE SIX HOSPITALS WHICH THE PROPOSAL REVIEW COMMIT’I SELECTED. ONLY DESIGNATED TRAUMA CENTERS WILL RECEIVE TRAUhlA PATIENTS AFTER JULY 1, 1984. SET OCTOBER 3, 1984 AS THE DUE Di FOR PROPOSALS FROM TRI-CITY AND PALOMAR HOSPITALS. THE PROPOSi WILL BE EVALUATED AND SITE VISITS CONDUCTED BY THE SAME COMMIT7 WITH THE EXCEPTION OF SUBSTITUTING A NEW NURSE. THE COMMITTEE WILL USE THE SAME CRITERIA AS PREVIOUSLY, EXCEPT THAT IT WILL EMPLOY A FORMULA UNDER WHICH THE TWO NORTH COUNTY HOSPITALS WII NOT BE PENALIZED FOR ANY LOSS OF EXPERIENCE AND SKILLS DUE TO DIVERSION OF SOME OF TFIEIR MAJOR TRAUMA PATIENTS TO OTHER TRAl CENTERS. THE PROPOSALS WILL BE EVALUATED BY NOVEMBER 1, 1984 AND A RECOMMENDATION WILL BE MADE TO THE BOARD OF SUPERVISORS SHORTLY THEREAFTER. IF ONE OR THE OTHER HOSPITAL IS DEEMED QUALIFIED BY THE COMMITTEE, THE BOARD WILL DESIGNATE ONE TRAUMl CENTER IN NORTH COUNTY. IF MORE THAN ONE HOSPITAL QUALIFIES, THE HOSPITAL WITH THE ErIGHEST SCORE WILL RECEIVE THE DESIGNATIC THE CATCHMENT AREAS WILL THEN BE RE-ADJUSTED COUNTYWIDE ANI TRAUMA PATIENT DIVERSION TO THE NORTH COUNTY HOSPITAL WILL BEG1 ON JANUARY 1, 1985. WHEN THE TRAUMA SYSTEM AUDIT IS COhPLETED AFTER hlAY 1, 1985, AND IF THE DATA SO INDICATES, APPROPRIATE ADJUSTMENTS WILL BE MADE AND THE NUMBER OF ADULT TRAUMA CENTER: AND CENTERS WILL BE ADDED OR DELETED AS NECESSARY UPON RECOMMEP ATION OF THE DEPARTMENT OF HEALTH SERVICES. BOARD OF Su TOM HAMI First Dis PAUL W. FC Second DI PATRICK M. Third Dir LEON L. W Fourth Di REGULAR MEETING, TUESDAY, APRIL 3, 1984 PAUL EC Fifth Dis Vice-Chairman PORTER D. ( W a a a COUNTY OF SAN DIEGO BOARD OF SUPERVISORS 0 1600 PACIFIC HIGHWAY ROOM 335 a SAN DIEGO, CALIFORNIA 92101 (619) 236-2291 a TOM HAMILTON Chairman LEON L. WILLIAMS Invocation to be given by Reverend Juan Acosta, Church Pledge of allegiance by Catherine Lucas, County Librarian St. Matthews f!!pl%!8? SET MATTERS Room 310 Board of Supervisors North Chamber 1O:OO a.m. SM-1 San Diego County Trauma Management Plan. DEPARTMENT OF HEALTH SERVICES (DHS) recommendation: (1) Approve provisional designation of following hospitals Trauma Centers, effective 5/1/84 through 4/30/85: '* jGrossmont District Hospital ?Mercy Hospital and Medical Center -Memorial Hospital, La Jolla rDonald N. Sharp Memorial Hospital 'University of California at San Diego Pediatric Trauma Center, effective 5/1/84 through (2) Approve provisional designation of following hospital i 4/30/85: Children's Hospital and Health Center (3) Authorize DIIS to negotiate agreements with designated Trauma Centers and return to Board by 5/29/84 L-*>irect DHS to a) conduct second on-site inspection for Level I1 and/6+-ZZiseZ+YH designation of those be conducted at a time when institutions feel they mc criteria but not later than 2/1/85; and b) establish which is consistent with BOard's policy of full cost recovery (5) Acknowledge, with sincere appreciation, cooperative ef of proposed Trauma Centers in responding to concerns regarding t-ransport times of major trauma victims in North Count-y by agreeing to obtain second helicopter ambulance to be based in North County recommended by DHS, and further direct Department to refine catchment areas in cooperation with County an( City of Sari Diego mapping specialists Agreements with appropriate hospitals as may be requ to provide geographic coverage in a given region Committee in providing comprehesive input in design policies and procedures, as well as conducting propo review and site visits, for County of San Diego and 0 L? LE <re--. - institutions not recommended today, said site visit (6) Note and file general geographic catchment areas, (7) Authorize DHS to renegotiate Paramedic Base Station (8) Acknowledge outstanding effort of Proposal Review -1- 4/3/84 r 0 w MAJOR TRAUMA To benefit patients who have what is called multi-system trauma disease. That is,injuries to organs within the chest or organs within the abdomen, long bone fractures, head injuries, patients who are in shock, which is in simple terms a lowering of the blood pressure from such multi-system injuries; we're talking about patients who sustain significant gunshot injuries, chest, abdomen, with significant bleeding, significant organ damage, and significant lowering of blood pressure and shock, these patients need to be treated within, what formally was called by most people as the golden hour, but the literature now suggests that perhaps the golden hour is now the golden two hours. weA-K%n\c3m A- \k\w \5 &, e@,-&&.,,A ~ 3 e e DATE : JANUARY 18, 1980 TO : CITY COUNCIL FROM: City Manager SUBJECT: REQUEST FOR SUPPORT OF TRI-CITY HOSPITAL APPLICATION TO ADD PSYCHIATRIC BEDS The attached letter from Tri-City Hospital requests your support of their application to establish 29 psychiatric beds at the facility. Larry Moss of Tri-City Hospital has provided this additional information : -- San Diego Regional Master Health Plan authorizes up to 35 additional psychiatric beds in the whole county region. -- Tri-City is one of six hospitals applying to the Regional Health Services Agency (HSA) for allocation of the authorized beds. The other five include San Luis Rey (Encinitas), Alvarado, Centre City, Paradise Valley, and one other San Diego metropolitan area hospital. -- The Carlsbad-Oceanside-Vista area is presently the only subregion of the County without any psychiatric bed facilities; the nearest being at Palomar in Escondido and at San Luis Rey in Encinitas. -- Tri-City Hospital now receives an average of 16 patients per month who are in need of these facilities. -- San Luis Rey Hospital in Encinitas is a privately owned facility specializing in psychiatric care. Tri-City Hospital is a public facility (cperated by a special district). These differences have led to some concerns over the wil1ing:ness of San Luis Rey to accept certain classes of patie:nts such as Medi-Cal patients and referrals from police agencies. Tri-City claims it makes no such distinctions in its admission policies. e a January 18, 1980 Page 2 -- Tri-City believes that HSA will favor an application from either Tri-City or San Luis Rey because of the absence of facilities in the Carlsbad-Oceanside-Vista area. On the premise that psychiatric beds are needed in this subregion, approval of the application from Tri-City is the only means of providing for that need. If the City Council desires to support the application of Tri- City Hospital, adoption of the attached resolution would accomplish that purpose. FRANK @- ALESHIRE City Manager FA: ldg Att. - Council Action: 1-21-80 Council adopted Resolution 6068, supporting Tri-City Hospital ': application for 29 psychiatric beds. 0 4002 Vlsta Way, Oceanside, California 92054 - 724-8411 - Jack G. Olpin, Executive Director January 11, 1980 The Honorable Ronald (2. Packard Mayor of Carlsbad 1200 Elm Avenue Carlsbad, California '92008 Dear Mayor Packard: As you might be aware, Tri-City Hospital is currently in the process of preparing a Certificate of Need application to the State of California for 29 psychiatric beds. The Certificate of Need process is a .Long and arduous one and we face a significant degree of competition from other hospitals in the County for permission to establish a Mental Health Unit. It is the feeling of the Psychiatric and the Administrative Staff at Tri-City that there is a very definite need for psychiatric beds in the Tri-City area. Ours is the only sub-area of the entire San Diego/Impe.rial County without any psychiatric beds. In order for our application to be approved, it is imperative that we demonstrate significant csmmunity support for our pro- posal. The application will be strengthened if it contains evidence of a consensus of opinion within the Tri-City area that the needs of the people will be better served if a Menta! Health Unit is established at; Tri-City Hospital. Toward ::his end, I ask for your assistance. We are in the final stacjes of preparing our application and p: to submit it to the Heaith Systems Agency in late January. Ii would be greatly appreciated if you could write a brief lettei stating your feelings regarding the need for psychiatric beds in the North County as well as your support for Tri-City Hos- pital's application. I am very appreciative of any help you can offer and would be happy to answer any questions you mighk have. Sincerely, (. -----_ __ --- JGO/kr 0 e 1200 ELM AVENUE TELEPXO CARLSBAD, CALIFORNIA 92008 (714) 438-5 Citp of CsrIf3bab January 23, 1980 Jack G. Olpin Executive Director Tri -Ci ty Hospi tal 4002 Vista Way Oceanside, CA 92054 Enclosed please find a copy of Resolution No. 6068 supporting Tri-City Hospital's applica- tion for twenty-nine psychiatric beds. Said -.+ resolution was adopted by the Carlsbad City Council at their meeting of January 21, 1980. ,/' , /A I/ ALETHA L. RAUTENKRANZ City Clerk ALR: krs Enclosure _I" 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 c 0 RESOLUTION NO. 6068 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA SUPPORTING TRI-CITY HOSPITAL’S APPLICATION FOR 29 PSYCHIATRIC BEDS. WHEREAS, the City Council has been informed that at pres€ there are no such beds available in the Carlsbad-Oceanside-Vis area, and that there is a clear, identifiable need for such facilities; NOW, THEREFORE, BE IT RESOLVED by the City Council of thc City of Carfsbad, as follows: 1. That the above statements are true and correct. 2. That the City Council of the City of Carlsbad hereby lends its support to the application of Tri-City Hospital for allocation of 29 pyschiatric beds and urges the Health Servici Agency to approve such application. PASSED, APPROVED AND ADOPTED at an adjourned meeting of City Council on the 27st day of J a n u a ry r 19 by the following vote, to wit: I AYES: Councilmen Packard, Lewis and Councilwoman Caslc I NOES : Councilmen Skotnicki and Anear LX r b ’ d-47 ?/ L.&L.Gf ABSENT: None /7 ‘ i ,‘ >+% I /IU -a I/’ RONALD e. PACKARD, Mayor ATTEST : , 0, 1 g&;A ALETBI L. FS-ZTZ>iiiRAcTJz, City Clerk (seal) .