facility assessment 1.2004 - contra costa county
TRANSCRIPT
Emergency Medical Services
ACUTE CARE HOSPITAL EMERGENCY AMBULANCE RECEIVING FACILITY
ASSESSMENT DOCUMENT
January 2004
Basis for Conducting Facility Assessments
Division 2.5, California Health and Safety Code, Sect ions 1797.103, 1797.250 and 1798.150, allows the State EMS Authority to establish guidelines for the utilization of hospital facilities according to critical care capabilities and requires local EMS agencies to utilize planning and implementation guidelines developed by the State EMS Authority in the assessment of hospitals and critical care centers. This document is a summary report of the self-assessment updates performed by acute care hospitals in Contra Costa County between October 2003 and January 2004. The intent of this document is to serve as a resource directory for emergency medical and other health professionals in the county. Information contained in this document has been obtained from the individual hospitals.
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 1 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital Name: Contra Costa Regional Medical Center & Health
Centers
Mailing Address and Phone Number: 2500 Alhambra Avenue Martinez, CA 94553 (925) 370-5100
Physical Address (if different): (same)
Chief Executive Officer: Jeff Smith, MD
Chief Operating Officer: Kathryn Grazzini
Contact Person for this survey - Telephone and FAX Numbers: Marcelle Indelicato (925) 370-5108, fax (925) 370-5138
Date of Survey: November 25, 2003
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Public
Total Number of Licensed Acute Care Beds (all types): 164
Licensed Intensive Care Beds (all types except neonatal): 8
Emergency Department Treatment Spaces: 19
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
4 areas: Family Practice Clinic 21 spaces, Specialty Clinic North 10 spaces, Specialty Clinic South 9 spaces, Infusion Room 6 spaces
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
May, 2001
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 2 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital Name: Doctors Medical Center – San Pablo Campus
Mailing Address and Phone Number: 2000 Vale Road San Pablo, CA 94806 (510) 970-5000
Physical Address (if different): (same)
Chief Executive Officer: Von Crockett
Chief Operating Officer: Todd Hoff
Contact Person for this survey - Telephone and FAX Numbers: Julie Kline, Chief Nursing Officer (510) 970-5258, fax (510) 970-5746
Date of Survey: 2/03/04
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Private-for-profit
Total Number of Licensed Acute Care Beds (all types): 232
Licensed Intensive Care Beds (all types except neonatal): 29
Emergency Department Treatment Spaces: 24
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
4 areas: Same-day Surgery 9 spaces; Outpatient burn 2 spaces; Outpatient chemotherapy 7 spaces; Hyperbaric Outpatient 2 spaces
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
August 2003
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 3 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital name: John Muir Medical Center
Mailing Address and Phone Number: 1601 Ygnacio Valley Road Walnut Creek, CA 94598 ((925) 939-3000
Physical Address (if different): (same)
Chief Executive Officer: John Muir/Mt. Diablo Health System J. Kendall Anderson
Chief Administrating Officer JMMC: Kenneth L. Meehan
Contact Person for this survey - Telephone and FAX Numbers: Julie Crouse (925) 947-4477, fax (925) 947-5268
Date of Survey: 1/20/04
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Private not-for-profit
Total Number of Licensed Acute Care Beds (all types): 321
Licensed Intensive Care Beds (all types except neonatal): 35
Emergency Department Treatment Spaces: 15; 22 11am to 11 pm
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
4 areas; Endoscopy, Eye lab, Infusion Center, Out-pt Surgi-Center
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
January 2001
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 4 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital Name: Kaiser Permanente Medical Center – Richmond
Mailing Address and Phone Number: 901 Nevin Avenue Richmond, CA 94801 (510) 307-1500
Physical Address (if different): (same)
Chief Executive Officer: Bettie L. Coles
Chief Operating Officer: Sue Muscarella
Contact Person for this survey - Telephone and FAX Numbers: Mark J. Tinsley (510) 307-1855, fax (510) 307-2906
Date of Survey: 12/18/03
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Private not-for-profit
Total Number of Licensed Acute Care Beds (all types): 50
Licensed Intensive Care Beds (all types except neonatal): 8
Emergency Department Treatment Spaces: 15
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
3 areas: Special procedures; Urgent care 24hr. medical services; Clinic departments
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
November 2001
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 5 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital Name: Kaiser Foundation Hospital – Walnut Creek
Mailing Address and Phone Number: 1425 South Main Street Walnut Creek, CA 94596 (925) 295-5130
Physical Address (if different): (same)
Chief Executive Officer: Sandra H. Small
Chief Operating Officer: Christine Robisch
Contact Person for this survey - Telephone and FAX Numbers: Kevin Langkiet (925) 295-6015; FAX (925) 295-7918
Date of Survey: 11/21/03
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Private not-for-profit
Total Number of Licensed Acute Care Beds (all types): 229
Licensed Intensive Care Beds (all types except neonatal): 24
Emergency Department Treatment Spaces: 52
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
5 areas: 2 ambulatory surgery centers, 1minor injury center, 1 endoscopy suite
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
October 2001
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 6 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital Name: Mt. Diablo Medical Center
Mailing Address and Phone Number: P.O. Box 4110 Concord, CA 94524-4110 (925) 674-2007
Physical Address (if different): 2540 East Street, Concord, CA 94520
Chief Executive Officer: CAO: Thomas Harlan
Chief Operating Officer: Executive Vice Presidents: Donna Brackley
Contact Person for this survey - Telephone and FAX Numbers: Donna Brackley, Sr. VP Patient Care Services (925) 674-2530, fax (925) 674-2009
Date of Survey: 11/21/03
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Private not-for-profit
Total Number of Licensed Acute Care Beds (all types): 254
Licensed Intensive Care Beds (all types except neonatal): 25
Emergency Department Treatment Spaces: 22
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
4 areas: Short stay 22 spaces, GI lab, 4 endo suites, Cancer Center, Cardiac Rehab.
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
January 2001
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 7 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital Name: San Ramon Regional Medical Center
Mailing Address and Phone Number: 6001 Norris Canyon Road San Ramon, CA 94583 (925) 275-9200
Physical Address (if different): (same)
Chief Executive Officer: Gary Sloan
Chief Operating Officer: Sue Micheletti
Contact Person for this survey - Telephone and FAX Numbers: Kathy Kelley-Conley, Director, Emergency Services (925) 275-8383, fax (925) 275-0107
Date of Survey: 1/21/04
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Private-for-profit
Total Number of Licensed Acute Care Beds (all types): 123
Licensed Intensive Care Beds (all types except neonatal): 12
Emergency Department Treatment Spaces: 9
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
2
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
2001
DEMOGRAPHIC INFORMATION (Listed for each hospital in alphabetic order)
Contra Costa Health Services • Emergency Medical Services 8 Acute Care Facility Self—Assessment Resource Document November 2003
Hospital Name: Sutter Delta Medical Center
Mailing Address and Phone Number: 3901 Lone Tree Way Antioch, CA 94509 (925) 779-7200
Physical Address (if different): (same)
Chief Executive Officer: Linda Horn, MHA
Chief Operating Officer: Susan Bumatay, RN, MSN
Contact Person for this survey - Telephone and FAX Numbers: Kenneth Harman, MHA (925) 779-3083, fax (925) 756-1107
Date of Survey: 2/7/02
Designation for Tax Purposes (public, private no-for-profit, private for-profit):
Private not-for-profit
Total Number of Licensed Acute Care Beds (all types): 111
Licensed Intensive Care Beds (all types except neonatal): 12
Emergency Department Treatment Spaces: 16
Total Number of Out-Patient Treatment Areas if integrated or attached out-patient facility:
When did the Joint Commission for Accreditation of Health Organizations (JCAHO) last review your facility?
October 2001
SPECIAL PERMIT SERVICES Please indicate which of the following Special Permit Services are provided in your facility under a current permit to provide these services from the State Department of Health Services, meeting all provisions of the appropriate section of Title 22 Article 6.
Contra Costa Health Services • Emergency Medical Services 9 Acute Care Facility Self—Assessment Resource Document November 2003
SERVICE Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond
Kaiser Walnut
Cr. Mt. Diablo
San Ramon
Sutter Delta
Cardiovascular surgery service No Yes Yes No No Yes Yes No
Comprehensive emergency medical service
No No No No No No No No
Basic emergency medical service Yes Yes Yes Yes Yes Yes Yes Yes
Standby emergency medical service No No No No No No No No
Burn center No Yes No No No No No No
Renal transplant center No No No No No No No No
Chronic dialysis unit No No No No No No No No
If your facility provides any of these services in a limited fashion with no current permit, please describe here, or on a separate page the limitations of the service, or the current status of permit applications.
n/a n/a n/a n/a n/a n/a n/a n/a
SUPPLEMENTAL SERVICES Please indicate which of the following Supplemental Services are provided within your facility with current State Department of Health Services approval, meeting all provisions of the appropriate section of Title 22 Article 6.
Contra Costa Health Services • Emergency Medical Services 10 Acute Care Facility Self—Assessment Resource Document November 2003
SERVICE Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond Kaiser
Walnut Cr. Mt. Diablo
San Ramon
Sutter Delta
Coronary Care Service No Yes Yes Yes Yes Yes Yes Yes
Dental/Oral Surgery Service Yes Yes Yes No No Yes No Yes
Intensive Care Service Yes Yes Yes Yes Yes Yes Yes Yes
Nuclear Medicine Service Yes Yes Yes No Yes Yes Yes Yes
Occupational Therapy Service Yes Yes Yes Yes No Yes Yes Yes
Pediatric Service Yes No Yes Yes Yes Yes No No
Prenatal Unit Yes Yes Yes No Yes Yes No Yes
Physical Therapy Service Yes Yes Yes Yes Yes Yes Yes Yes
Rehabilitation Center No No Yes No No No No Yes
Respiratory Care Service Yes Yes Yes Yes Yes Yes Yes Yes
Social Service Yes Yes Yes Yes Yes Yes Yes Yes
Speech Pathology and/or Audiology Yes Yes Yes No Yes Yes Yes Yes
If any of these supplemental services are provided in a limited fashion or without current State Department of Health Services approval, please describe the limitations of the service and the current status State approval application.
n/a n/a n/a n/a n/a n/a n/a n/a
HOSPITAL SPECIALTY SERVICES Please indicate if any of the following services are provided (as described) in your facility:
Contra Costa Health Services • Emergency Medical Services 11 Acute Care Facility Self—Assessment Resource Document November 2003
SERVICE Contra Costa
Doctors SP
John Muir
Kaiser Richmond
Kaiser WC Mt.
Diablo San
Ramon Sutter Delta
Inpatient acute hemodialysis services staffed by trained technicians in-house/on-call 24/7. No Yes Yes Yes Yes Yes Yes No
Inpatient acute hemodialysis services provided though not available 24 hrs/day, 7 days/wk. No n/a n/a n/a n/a n/a n/a No
Pharmacist in-house 24 hrs/day. No No Yes No Yes No No No
Radiation Emergency Medical Team available on 24-hour call, including radiation medicine physician, health physicist and radiation technician.
No Yes Yes No No No Yes No
Hand surgery service with hand surgeon with experience in macro and micro vascular surgery on-call and promptly available 24 hrs/day.
No No No No No Yes (no re-implantation) No No
Physical medicine/hand rehabilitation service including physiatry services on call, occupational therapy, physical therapy, hydrotherapy, social services, and pain clinic.
Yes No Yes No No Yes-2 on staff, but not 24/7 coverage
No Yes
Trauma Services (EMS designated Trauma Center). No No Yes No No No No No
If Trauma Center, special pediatric trauma capabilities? n/a n/a No n/a n/a n/a n/a n/a
Trauma rehabilitation services provided by dedicated rehabilitation staff under direction of physician and supported by physical therapy, social services, psychologist, and occupational therapy.
No No Yes No No No No No
Burn Service (organized burn service components including physician director, training for personnel, burn care protocols, routine burn care evaluation).
No Yes No No No No No No
TRANSFER AGREEMENTS Do you have transfer agreements with other hospitals to facilitate the transfer of any of the following type of patients from your facility? (This information is intended as an inventory of formal transfer agreements; it is not listed to limit hospital staff in choosing a facility for patient transfer).
Contra Costa Health Services • Emergency Medical Services 12 Acute Care Facility Self—Assessment Resource Document November 2003
TYPE OF TRANSFER
Contra Costa Doctors San
Pablo John Muir
Kaiser Richmond
Kaiser WC Mt. Diablo San Ramon Sutter Delta
Traumatic injuries JMMC JMMC,AL.CO. JMMC JMMC JMMC
Spinal cord injuries JMMC, K-Redwood City
JMMC JMMC
Burn emergencies DMC-SP DMC-SP St. Francis, SF DMC-SP
Pediatric emergencies
CHO & JMMC CHO CHO CHO, K-Oak, A Bates
CHO CHO CHO
Cardiac emergencies
K-SF, K-Oak, Summit
MDMC Stnfrd/ heart trnsplnt
MDMC MDMC
Other types of transfers (please specify)
JMMC OB Lvl III & Nursery Lvl III. Alta Bates MC
CCRMC/Neuro
Psych - Mt. Diablo Pavillion & Herrick, Alta Bates-OB/GYN; K. Oak & CHO – Pedi surgery; Psych dependent on need
JMMC-Neurosurgery; Alta Bates-OB/GYN; K. Oak & CHO – Pedi surgery; Psych dependent on need; Ortho; K Oak Stable Neurosurgery; K Redwood City Unstable Neurosurgery
Level III ICN _- JMMC, CHO, Kaiser, Psych – CCRMC, Mt. Diablo Medical Pavilion; OB – JMMC, Kaiser; PEDS – JMMC, CHO
JMMC Neurosurgery; Alta Bates – OB/GYN; K. Oak & CHO – Pedi surgery; Psych dependent on need, Ortho; K Oak Stable Neurosurgery; K Redwood City Unstable Neurosurgery
SRRH (rehab) Nuerosurg-JMMC, Eden
EMERGENCY SERVICES Please indicate which of the following Special Permit Services are provided in your facility under a current permit to provide these services from the State Department of Health Services, meeting all provisions of the appropriate section of Title 22 Article 6.
Contra Costa Health Services • Emergency Medical Services 13 Acute Care Facility Self—Assessment Resource Document November 2003
EMERGENCY DEPARTMENT (ED) CAPACITY AND RESOURCES
Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond Kaiser WC Mt. Diablo
San Ramon
Sutter Delta
FY 2002 patient volume: 48,684 38,6521 42,328 65,000 43,739 47,285
How many total pt treatment spaces (not beds) are available in the ED? 19 24 15 15 52 22 9 16
Number of ED resuscitation spaces sufficient to accommodate a portable x-ray machine and 3 staff at the bedside of each patient simultaneously:
8 7 14 4 12 4 2 2
Other monitored spaces in the ED: 1 13 8 portable 4 40 18 9 11
How many pts can be monitored at the nurse’s station simultaneously? 8 15 29 8 52 16 9 16
Non-critical treatment spaces: 14 9 4 7 40 10 7 14
Does your facility have an FAA and CALTRANS approved helipad? No Yes Yes No No No No No
If no approved helipad, does your facility have an identified EMS landing site?
Yes n/a n/a Yes Yes Yes
Buchanan Field
No Yes
Is your facility an EMS designated base hospital? No No Yes No No No No No
1 2003 data
RADIATION / HAZARDOUS MATERIAL EXPOSURE PREPARATION Does your ED maintain or have ready access to the following equipment for radiation or hazardous material exposure management?
Contra Costa Health Services • Emergency Medical Services 14 Acute Care Facility Self—Assessment Resource Document November 2003
RADIATION/HAZMAT CAPABILITIES: Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond Kaiser
Walnut Cr. Mt.
Diablo San
Ramon Sutter Delta
Fixed decontamination area with buffer zone, control points, fixed shower, sink No Yes Yes Yes Yes Yes No No
Area in or near the emergency department designated in advance as a potential decontamination area
Yes Yes Yes Yes Yes Yes Yes Yes
Radiation detection equipment including portable equipment, survey meter, film badges or dosimeters
Yes Yes Yes Yes Yes Yes Some Yes
Portable decontamination shower with collection tanks or barrels.
Yes Yes Yes Yes Yes Permanent
Yes No Yes
Appropriate protection equipment available for staff.
Yes Yes Yes Yes Yes Yes Yes Yes
# of hospital personnel trained in first responder operations training 4 >25 8 >6
Decontamination supplies Yes In progress Yes Yes Yes Yes Some Yes
Brand of decontamination supplies various
Does your ED maintain or have ready access to written or telephone information for radiation or hazardous material exposure management?
Yes Yes Yes Yes Yes Yes Yes Yes
Has the federal govt designated or contracted with your facility as a directed support facility for radiation/hazardous material injuries?
No No No No No No No No
DISASTER EMERGENCY PREPAREDNESS
Contra Costa Health Services • Emergency Medical Services 15 Acute Care Facility Self—Assessment Resource Document November 2003
DISASTER PREPAREDNESS/CAPACITY
Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond Kaiser
Walnut Cr. Mt. Diablo
San Ramon
Sutter Delta
Has your facility adopted/integrated Hospital Emergency Incident Command System (HEICS)?
Yes Yes Yes Yes Yes Yes Yes Yes
Phone and Fax #’s for designated Incident Command Center.
925-370-5203 925-646-4302 fax 370-5154
fax: 510-970-5746 925-295-5569
925-674-2020 fax 674-2012
Contact Name/Phone number for Emergency Preparedness.
Larry Carlson 925-370-5140
Nursing Sup. 510-970-5000
Anne Lum 939-3000 Kevin Langkeit
925-295-6015 Dan Zoellner 925-674-2265 Lawrence
Mouglia
Is a written hospital evacuation plan for your facility on file with the EMS Agency?
Yes No Yes Yes Yes Yes Yes Yes
Do critical resources in your facility meet State mandated 2008 seismic standards:
Yes Yes Bldg safe but
needs sprinkler system fix.
Yes
Emergency department Yes not known Yes Yes Yes Yes Yes Yes
Surgical suites Yes not known Yes Yes Yes Yes Yes Yes
# of suites meeting standards 7 not known all 3 9 8 5 4
Laboratory facilities Yes not known Yes Yes Yes Yes Yes Yes
Radiology facilities Yes not known Yes Yes Yes Yes Yes Yes
Intensive Care Unit(s) Yes not known Yes Yes Yes Yes Yes Yes
# of beds meeting standard 8 ICU, 10 Intermediate
not known all 8 24 25 12 8 CCU, 12 tele
General inpatient units Yes not known Partially Yes Yes 83% yes 17% no
Yes Yes
# of beds meeting standard 146 not known 42 208 212 76 25 M/S, 14 postpartum
National Defense Medical Systems (NDMS) agreement with the Federal Govt.
No Yes Yes No No Yes No No
INTENSIVE CARE UNITS
Contra Costa Health Services • Emergency Medical Services 16 Acute Care Facility Self—Assessment Resource Document November 2003
INTENSIVE CARE CAPACITY Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond
Kaiser Walnut
Cr. Mt. Diablo
San Ramon
Sutter Delta
Total # of licensed intensive care beds (includes all categories except neonatal):
8 29 35 8 24 15 12 12
If you have a California Children’s Services (CCS) designated Pediatric ICU, # of beds:
n/a n/a n/a n/a n/a n/a n/a n/a
# of intensive care beds with pediatric equipment and specially trained nurses:
n/a n/a 0 0 0 0 0 n/a
If you have a separate CCU, # of beds (included in total ICU bed count):
n/a 9 11 n/a n/a 10 n/a n/a
If you have a separate Neurosurgical ICU, # of beds:
n/a n/a 12 n/a n/a n/a n/a n/a
If other designated intensive care specialty beds, please specify # and type:
n/a 6 Burn 0 n/a 25 Neonatal 0 0 n/a
OTHER MONITORED INPATIENT BED CAPACITY
Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond
Kaiser Walnut
Cr. Mt. Diablo
San Ramon
Sutter Delta
# of monitored step-down or tele beds: 10 24 29 16 28 64 15 8
Beds in addition to licensed intensive care beds?
Yes Yes Yes Yes Yes Yes Yes Yes
How many patients can be monitored from a central nurses' station simultaneously?
10 24 29 16 28 64 15 8
If other monitored inpatient beds, please specify # and type:
n/a 7 Recovery n/a n/a 0 n/a n/a n/a
SURGICAL SERVICES
Contra Costa Health Services • Emergency Medical Services 17 Acute Care Facility Self—Assessment Resource Document November 2003
SURGICAL SERVICE CAPACITY/STAFFING Contra Costa
Doctors San Pablo
John Muir Kaiser Richmond
Kaiser Walnut
Cr.
Mt. Diablo
San Ramon
Sutter Delta
# of surgical suites: 7 6 9 3 91 81 5 4
In-house surgical staffing 24 hours a day: No No Yes No Yes2 No No No
On-call surgical staffing available 24 hours a day by written policy: Yes Yes Yes Yes Yes3 Yes Yes Yes
Backup on-call surgical team available within 1hr Yes Yes Yes Yes Yes Yes Yes No
POST ANESTHESIA RECOVERY CAPACITY/STAFFING
Contra Costa
Doctors San Pablo
John Muir Kaiser Richmond
Kaiser Walnut
Cr.
Mt. Diablo
San Ramon
Sutter Delta
Does your facility have a separate post-anesthesia recovery unit? Yes Yes Yes Yes Yes Yes Yes Yes
# of dedicated post-anesthesia recovery beds: 22 7 15 6 17 12 7 4
If no separate post-anesthesia recovery unit, do you use ICU for recovery?
n/a n/a n/a n/a n/a n/a Yes No
RN’s in hospital 24 hrs/day and who are specially trained in post-anesthesia recovery?
No No No No Yes2 No Yes4 No
RN’s/essential personnel available 24 hrs/day by written policy?
Yes Yes Yes Yes Yes Yes Yes Yes
1 Plus 1 cysto room 2 M-Fweekends/holidays day shift only 3 weekends & holidays
4 ED and ICU trained to cover during night shift.
CRITICAL ANCILLARY SERVICES
Contra Costa Health Services • Emergency Medical Services 18 Acute Care Facility Self—Assessment Resource Document November 2003
LABORATORY SERVICES / STAFFING Contra Costa
Doctors San
Pablo
John Muir
Kaiser Richmon
d
Kaiser Walnut
Cr.
Mt. Diablo
San Ramon
Sutter Delta
Does your facility have in-house laboratory staffing 24 hours a day? Yes Yes Yes Yes Yes Yes Yes Yes
On-call or back-up lab staff available 24 hours a day by written policy? No Yes n/a Yes Yes n/a Yes No
Please indicate which of the following laboratory services are available at your facility 24 hours per day.
Chemistry Yes Yes Yes Yes Yes Yes Yes Yes
Hematology Yes Yes Yes Yes Yes Yes Yes Yes
Coagulation Yes Yes Yes Yes Yes Yes Yes Yes
Toxicology Yes Yes Yes No No Yes Yes Yes
Microchemistry Yes Yes Yes Yes No Yes Yes No1
Blood bank Yes Yes Yes Yes Yes Yes Yes Yes
What is your source of blood products? American Red Cross
American Red Cross
American Red Cross
American Red Cross
Blood Center of the Pacific
American Red Cross
American Red Cross
American Red Cross
CRITICAL ANCILLARY SERVICES
Contra Costa Health Services • Emergency Medical Services 19 Acute Care Facility Self—Assessment Resource Document November 2003
RADIOLOGY & SPECIAL PROCEDURES / STAFFING
Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond
Kaiser Walnut
Cr. Mt. Diablo
San Ramon
Sutter Delta
Does your facility have in-house radiology staffing 24 hours a day?
Yes Yes Yes Yes Yes Yes No Yes
On-call or back-up radiology staff available 24 hours a day by written policy?
Yes1 Yes n/a Yes Yes Yes Yes No
Do you have the following special capabilities in-house or available within one hour by written policy?
Angiography, coronary artery No Yes Yes No No Yes Yes Yes, limited
Angiography, all other types Yes Yes Yes No Yes Yes Yes Yes, limited
Computer tomography--head Yes Yes Yes Yes Yes Yes Yes Yes
Computer tomography - body Yes Yes Yes Yes Yes Yes Yes Yes
Magnetic resonance imaging No No Yes No Yes Yes No Yes
Ultra sound (sonography) Yes Yes Yes Yes Yes Yes Yes Yes
Nuclear scanning Yes Yes Yes Yes Yes Yes Yes Yes
Echocardiography Yes Yes Yes Yes Yes Yes Yes Yes
Cardiovascular stress testing within 24 hours Yes Yes Yes Yes Yes Yes Yes Yes
Myelography Yes Yes Yes Yes No Yes Yes Yes
Ventilation perfusion lung scan capabilities Yes Yes Yes Yes Yes Yes Yes Yes
Thallium scanning capabilities within 24 hrs Yes2 Yes Yes Yes Yes Yes Yes Yes
1 CT & special procedures only. 2 Week days only
PHYSICIAN SPECIALTY AVAILABILITY:
Contra Costa Health Services • Emergency Medical Services 20 Acute Care Facility Self—Assessment Resource Document November 2003
PHYSICIAN SPECIALTY AVAILABILITY Specialty and sub-specialty practice physician availability for each facility are indicated by category, as defined below. The physician availability information obtained from each facility is specific to physicians who are on the medical staff of the facility. IN-HOUSE: “In-house” In-hospital 24 hours a day, 7 days a week. This requirement may be fulfilled by residents or other in-house (non-emergency department)
physicians with special competence in the care of emergencies relevant to that specialty as judged by the chief of the respective service with qualified attending staff specialists on-call and promptly available for consultations and on-site supervision. Note: General surgery residents must have completed at least 3rd year of residency to fulfill this requirement.
NORMALLY PROMPTLY AVAILABLE: “Normally” On-call 24 hours a day, 7 days a week and listed on the Emergency Department call list with a minimum of 3 specialists in each category
on-staff and routinely participating in the call schedule. OCCASIONALLY AVAILABLE: “Occasional” Staff physicians on-call only intermittently, not always available, available during certain hours only, or fewer than 3 specialists in each
category on staff and participating in the call schedule. NOT AVAILABLE: “Not” Specialty or sub-specialty practice physician is not available.
PHYSICIAN SPECIALTY AVAILABILITY:
The physician availability information obtained from each facility is specific to physicians who are on the facility’s medical staff. Does not include specialty physicians available for consultation by telephone only, but who are not on staff at your facility.
Contra Costa Health Services • Emergency Medical Services 21 Acute Care Facility Self—Assessment Resource Document November 2003
SPECIALIST Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond Kaiser
Walnut Cr. Mt. Diablo San Ramon Sutter Delta
Anesthesiology In-house Normally In-house Normally In-house Normally Normally Normally
Cardiac Surgery Not Normally Normally Not Not Normally Normally Not
Cardiology Normally Normally Normally Normally Normally Normally Normally Normally
Dentistry/Oral Medicine Normally Occasional Normally Not Not Not Not Occasional
Emergency Medicine In-house In-house In-house In-house In-house In-house In-house In-house
Family Practice Normally Normally Normally Not Normally Normally Normally Normally
General Surgery Normally Normally In-house Normally In-house Normally Normally Normally
Internal Medicine Normally Normally Normally Normally In-house Normally Normally Normally
Neurology Normally Occasional Normally Normally Normally Normally Normally Occasional
Neurologic Surgery Normally Occasional Normally Not Not Normally Normally Not
OB/GYN Surgery In-house Normally In-house Normally In-house Normally Normally Normally Ophthalmic Surgery Normally Normally Normally Normally Normally Occasional Normally Occasional Orthopedic Surgery Normally Normally Normally Normally Normally Normally Normally Normally
Otorhinolaryngologic Surgery
Normally Occasional Normally Normally Normally Normally Normally Occasional
Pediatrics In-house Occasional In-house Normally In-house Normally In-house Normally
Psychiatry Normally Occasional Normally Normally Normally Occasional Occasional Occasional
Thoracic/Vascular Surgery
Normally Occasional Normally Not Normally Normally Not Occasional
Radiology Normally Normally In-house Normally Normally2 Normally Normally Normally
Urologic Surgery Normally Normally Normally Not Normally Normally Normally Occasional
PHYSICIAN SPECIALTY AVAILABILITY:
The physician availability information obtained from each facility is specific to physicians who are on the medical staff of the facility. Does not include specialty physicians available for consultation by telephone, but who are not on staff at your facility. NOTE: For the following specialists, the definition of Normally Promptly Available is revised to “on-call 24 hrs/day, 7 days/wk with 2 specialists minimum”.
Contra Costa Health Services • Emergency Medical Services 22 Acute Care Facility Self—Assessment Resource Document November 2003
SPECIALIST Contra Costa Doctors San
Pablo John Muir
Kaiser Richmond
Kaiser Walnut Cr.
Mt. Diablo San Ramon Sutter Delta
Allergy Occasional Occasional Normally Occasional Not Not Normally Occasional
Clinical Toxicologist Occasional Not Not Not Not Not Normally Not
Endocrinology Not Occasional Normally Not Not Normally Normally Not
Gastroenterology Normally Normally Normally Occasional Normally Normally Normally Normally
Gerontology Occasional Occasional Occasional Not Not Not Normally Not
Hand Surgery Normally Normally Normally Not Occasional Occasional Occasional Occasional
Hematology Normally Occasional Normally Not Not Normally Not Occasional
Immunology/ Rheumatology
Occasional Occasional Normally M-F Not Occasional Not Occasional
Infectious Diseases Normally Normally Normally Occasional Occasional Normally Not Occasional
Microsurgery Not Not Occasional Not Not Occasional Not Not Nephrology Normally Normally Normally Normally Occasional Normally Normally Occasional Neonatology Normally Normally In-house Not Normally Normally Normally Occasional
Neuroradiology Not Not In-house Not Not Normally Not Not Pathology Normally Normally Normally Occ. (M-F) Occasional Normally Occasional Normally
Pediatric Radiology Not Not Occasional Not Not Normally Not Not
Pediatric Surgery Not Not Occasional Not Not Normally Not Not
Plastic & Maxillo-facial Surgery
Normally Occasional Normally Not Not Occasional Normally Occasional
Pulmonary Diseases Normally Normally Normally Normally Normally Normally Normally Occasional
Urologic Surgery Normally Normally Normally Normally Not Normally Normally Occasional
SPECIAL SERVICES
Contra Costa Health Services • Emergency Medical Services 23 Acute Care Facility Self—Assessment Resource Document November 2003
NEONATAL & OBSTETRICAL EMERGENCIES Contra Costa
Doctors San
Pablo
John Muir
Kaiser Richmon
d
Kaiser Walnut
Cr.
Mt. Diablo
San Ramon
Sutter Delta
Please indicate if your facility has any of the following services or capabilities:
Labor and Delivery Unit within the hospital Yes Yes Yes No Yes No Yes Yes
Newborn Nursery Yes Yes Yes No Yes No Yes Yes
Cesarean Section Suite, staffing promptly available in-house or on-call within 30 minutes, 24 hrs/day by written policy).
Yes Yes Yes No Yes Yes Yes Yes
Does your facility have a California Children's Services approved Tertiary Neonatal Intensive Care Unit?
No No No No No No No No
Does your facility have a California Children's Services approved Intermediate (Community) Neonatal Intensive Care Unit?
No No Yes No No No No No
PEDIATRIC EMERGENCIES Contra Costa
Doctors San
Pablo
John Muir
Kaiser Richmon
d
Kaiser Walnut
Cr.
Mt. Diablo
San Ramon
Sutter Delta
Does your facility offer inpatient pediatric services? Yes No Yes No Yes Some Some 1
If yes, number of pediatric inpatient beds: 8 n/a 15 n/a 12 n/a None n/a
1 YES, but transfer by policy
SPECIAL SERVICES
Contra Costa Health Services • Emergency Medical Services 24 Acute Care Facility Self—Assessment Resource Document November 2003
PSYCHIATRIC EMERGENCIES Contra Costa
Doctors San Pablo
John Muir Kaiser
Richmond
Kaiser Walnut
Cr.
Mt. Diablo
San Ramon
Sutter Delta
Does your facility offer inpatient psychiatric services? Yes No No No No No No No
If yes, indicate total number of inpatient beds 51 n/a n/a n/a n/a n/a n/a n/a
Do you have pediatric psychiatric inpatient services? No No No No N/a No No No
If yes, indicate total number of inpatient beds N/a n/a n/a n/a n/a n/a n/a n/a
Which of the following services are offered through your psychiatric unit of facility:
Physically separate psychiatric unit meeting requirements of sections 70575-83
Yes No n/a No No n/a n/a n/a
Psychiatric rehabilitation provided by a dedicated rehabilitation staff under the direction of a Psychiatrist supported by occupational therapists, social services and others, or these services provided by contract
Yes No n/a No No n/a n/a n/a
Locked psychiatric ward Yes No n/a No No n/a n/a n/a
ADDITIONAL SPECIAL SERVICES
Contra Costa Health Services • Emergency Medical Services 25 Acute Care Facility Self—Assessment Resource Document November 2003
List and briefly describe below any special services offered in your facility and not covered in the self -assessment thus far: (example--hyperbaric medicine service with walk-in chamber and hyperbaric team on-call and available within 20 minutes by written policy, also available for telephone consultation). Contra Costa: OB; Oncology; Psychiatric Emergency Doctors San Pablo: Hyperbaric medicine w/ 3 chambers, Cardiac Rehab, Chemical Dependency Services, Wound Center John Muir: Hyperbaric; Wound Care Center; Oncology; Infusion Center; High risk perinatology; Orthopedics; Lactation Center;
High risk infant follow-up; Cardiac Rehab; Pulmonary Rehab; Breast center; Stem Cell transplant; Home Health; Diabetes Center; Sleep Studies
Kaiser Richmond: n/a Kaiser Walnut Cr: n/a Mt. Diablo: Oncology; Breast Center; Cardiac Rehab; Pulmonary Rehab; Diabetes Center San Ramon: Cardiac rehab Sutter Delta: n/a